Tag Archives: training

Going Long in Canada

Whistler. The name alone is instantly recognisable. Immediately it conjures up images of pristine alpine perfection and for anyone visiting Vancouver, it feels almost irresponsible not to make the effort to head out of the city to check Whistler out for yourself. I know Whistler more as a hallowed site of snow sports action, with the memory still firmly lodged in my mind of the Canadian friend I had way back in New Zealand, during my Gap Year travels, who playfully scoffed at the very idea of essentially slumming it on Kiwi slopes when she was used to the “perfect powder of Whistler.” Since then I have had this image and idea of the place firmly chiselled into my psyche. I had to check it out even though it would not be to engage in any snowboarding, a simple, irksome yet unavoidable feature of the fact that the snow doesn’t generally arrive and the resorts don’t open until after I am scheduled to fly back home. Still, it’s not just snow sports that attract visitors to Whistler and I didn’t have to search too long to find my excuse to go: an ultra marathon!

Fresh off the Eiger 101 experience in July, an alpine race that really showed me how tough this sport and the mountains can be, I was, initially, apprehensive about the idea of signing up for another long-distance mountain race. However, the one I found, a four loop course totalling 80km, and part of a main, team relay event, appears, on paper, to be way less brutal than the Eiger had proven to be. The event itself is the BC Athletics Whistler 50 Relay & Ultra. As far as I can tell, the course is relatively flat, sticking close to the centre of Whistler itself, and sounds as though it is set to be a really fun, sociable event, with a big post-race party featuring prominently on their marketing materials.
Course for the ultra in Whistler
At the end of the day my priority was getting up to see Whistler and so if I can combine that with an actual sporting event then all the better. Of course I intend to finish the race but, ultimately, if the distance does end up beating me then it won’t be the end of the world as it was never the number one goal of going. Having said that, I have run (close to) the distance before, with Wadi Bih sitting at 72km in length, so with some good training and favourable race day conditions, I don’t see any reason to doubt myself in the solo category. Credit card swiped and I was in. The easy part done.

Whilst I was due to be physically located the other side of the world during the preparation for the race I knew full well that, once again, the expert advice and training guidance of my coach, Trace, was required and, once again, she needed no encouragement to join me on this new, crazy challenge. With all my belongings packed away in storage, essentials in a suitcase and eager to see what my three months in Vancouver were going to lead to, I jetted out of Dubai and, via Amsterdam, made my way to Canada. Ironically the first couple of weeks turned out to be less than desirable training conditions, with government air warnings being issued daily on account of the smoke and fine particulate matter in the air, a result of the forest fires raging away to the north and south. It was so bad the first week of my stay that I didn’t actually get to set eyes on the mountains that form the backdrop to North Vancouver until into week two of being there. My first day in the city did see me do a lap round Stanley Park’s sea wall, an iconic run but on reflection perhaps as healthy an experience as simply pulling up a bar stool in a local pub and chugging through a pack of cigarettes. Ironic then that I found myself advising Trace that in spite of having left the hot, dusty conditions of the UAE in summer – hostile training conditions for outdoor training – for what I expected to be the nirvana of run training, much of the planned ‘fresh air’ runs that were scheduled on my plan had to be canned until the air improved. It didn’t help matters that, almost certainly due to the bad air, I developed a sore throat, and found the first few weeks of running here in Canada surprisingly tough, with my legs feeling ridiculously stiff and sore whenever I headed out. I couldn’t figure out whether it was just a case of not being used to the temperate conditions or still feeling the Eiger in my muscles, although I’d surely had ample recovery(?) Thankfully it has all since resolved and the past few weeks of training have felt way more comfortable with the pain that I was, at times, experiencing gone and instead replaced by the all too familiar and infinitely more reassuring tiredness that comes with a good, solid workout. I recognise that feeling and embrace it as a training partner!
Week 1 (top) with smoke & haze obscuring the mountain view & Week 3 (bottom) showing the true beauty of Vancouver
In addition to the legs regaining their mojo the air quality thankfully improved relatively swiftly and the smoke now feels like a weird, distant memory, replaced instead by what I had expected and excitedly anticipated by moving to Vancouver: crisp, clean air, nature-abundant trails and views that turn any training run into a sumptuous feast for the visual cortex. I ended up being extremely fortunate with my accommodation arrangements by finding a room in an apartment to rent just on the edge of the UBC (University of British Columbia) campus, out on the western tip of Vancouver and nestled within the stunning forests of the Pacific Spirit National Park, an extensive area of ancient woodland that’s criss-crossed by scores of trails, ranging from the wide, straight and relatively flat all the way through to the narrow, winding and undulating. It is a trail runners playground and one could be satisfied simply sticking to running in the immediate vicinity of my apartment, let alone the tempting offerings that come from venturing beyond this corner of Vancouver. Another stroke of luck was the fact that literally next door to my apartment building is a branch of a Canadian running store chain, The Running Room, that hosts weekly social runs. As such, every Sunday morning sees me join a lovely eclectic group of runners, ranging across age, nationality and all with the same goal: to come out and just enjoy running. This regular injection of social contact into my run training has been fantastic, especially as a lot of the time long-distance running can often feel like quite a solitary endeavour. To round out my good fortune with regard to training my place also happens to be less than a kilometre from the main UBC athletics track, which so far seems to be open to any and all to make use of, which is an absolute treat and one that has enabled some really excellent interval training to be built into my programme. I actually don’t think I could have asked to be in a better location for run training, and it all came about more by luck than design!

There have been a few standout moments so far in my running here in Vancouver, with one of the earliest being taking part in a Running Rooms event at Stanley Park: a night run. The Friday evening of my second week in the city saw me join scores of other enthusiastic pavement pounders as we adorned ourselves with glowsticks and hit either the 5km or 10km races that took in most of the sea wall that I’d run just the week before, except this time at night. I was especially pleased with my time and although a stitch set in at the 8km mark – an annoying performance curber – I posted a pretty fast time of just over 40 minutes for the full 10km. That really gave my confidence a shot in the arm and I feel as though the training has stepped up nicely since.
Neon was the name of the game for the Night Run around Stanley Park
Another early experience was during my first solo run around the UBC area. As much an excuse to just explore as it was a training run, my ‘make it up as you go along’ route saw me head on down the steep woodland staircase from Marine Drive to Wreck Beach, a popular stretch of coastline that is well known for being ‘clothing optional.’ It transpired that way more of the punters at the beach that day opted NOT to wear any clothes and so I had my first real experience of Canadian liberalism, including at one point some dude who asked me for directions and then proceeded to try and engage me in a full conversation about how his wife was from the UK etc, all whilst his entire compliment of junk was out flip-flapping away. All I could think at the time was, “seriously dude! This is way too weird for me right now…. I just want to carry on running!” Very comical indeed!

One of the early advantages of throwing in with the local running store was that I was able to join a few of them on a couple of trips across to North Vancouver, with one to do a hike on the Baden Powell trail from Deep Cove, and another to tackle the punishably steep and heart-bursting Grouse Grind, that takes masochists like us from the base to the top of Grouse mountain in just under 2km! The record for it sits at about 25mins, which is insanely quick. It took me just under an hour and that was with me really giving it some welly! I doubt I’d have made it over to check out such spots if it were not for the generous spirit of the people I was with as to do so with public transport would take about 2 hours, whereas in a car it only takes about 30 to 40 mins to get to each place.
Slightly different to the potential wildlife encounters posed in Dubai
Deep Cove (left) & Quarry Rock (right)
A few of the highlights of a trip up to Grouse Mountain
One other highlight to date has been running in Seattle during a weekend trip down to the US city. Similar in many regards to Vancouver, my long Saturday morning run was a fantastic way to explore yet another stunningly picturesque city. Running really is one of the best ways to explore new places!
And so with the race now less than a week away I am entering the final few days of tapered training. The forecast, at this stage anyway, is looking good for race day, with sunshine and mild to cool temperatures. If that remains the case then we should be set for an awesome weekend of running and fun. Bring it on!

Virtual & Augmented Reality in Veterinary Education

[This is a guest blog post I wrote for the RCVS (Royal College of Veterinary Surgeons) ViVet Expert Blog page. The original post can be viewed here.]
Anyone who has watched films such as The Matrix or the more recent Spielberg offering, Ready Player One, will be familiar with the idea of virtual reality and the potential of it to transform not only entertainment but many other aspects of our lives, including work and education.
Spatial computing, which incorporates both Virtual Reality (VR) and Augmented Reality (AR) – collectively referred to as Mixed Realty (MR) – is rapidly moving from the realms of science fiction into fact, providing those in healthcare with a range of exciting and interesting new tools. Whilst there are a number of case examples of MR being employed within the human medical sector, it’s use remains in it’s infancy within the veterinary sector, although I see that changing over the next few years.
According to recent survey data the level of enthusiasm for spatial computing as a potentially useful tool within the veterinary profession is high even though the level of practical experience with such technology remains low. Whilst VR has been around for decades it is only in recent years that the technology has advanced to levels that now enable a range of extremely useful applications and is gaining wider adoption as opposed to simply being the preserve of gamers and academics. Much of this drive in adoption has come from the advances in mobile technology. One can easily experience the magic of VR using a phone-based headset like the Samsung GearVR or engage with AR through their Apple iPhone, whether it be chasing after Pokemon or playing with dinosaurs as they run across a tabletop. The barriers to entry of truly high-spec VR are rapidly falling and it will soon be possible to experience full six-degrees-of-freedom VR, allowing users to directly engage and interact with a virtual world, without having to break the bank by buying expensive gaming equipment. Truly untethered, mobile headsets, such as those in development by companies like Oculus, will, I am certain, herald a wave of mass adoption of VR. As soon as more people get to try spatial computing for themselves the applications will start to be imagined and created, including many that will change how we, as veterinarians, train, educate ourselves and clients, and manage our professional lives.
I recently spoke at an industry conference in the US on VR in Veterinary, with education and training the most obvious areas for application at present. Human surgeons are already able to practice certain skills in VR, using programs like OssoVR, and the evidence supports the view that immersive systems that provide practical training scenarios do translate into effective learning. The airline industry has used VR systems to train pilots for years. Why not use the same principles to ensure that our surgeons, both of humans and animals, learn, practice and refine key skills in a safe, repercussion-free environment before they apply those same skills to real-life patients. If I had been able to graduate from vet school having carried out hundreds of (virtual) bitch spays – a feat that would simply not have been possible in the real world – even if the virtual scenarios only modelled very specific aspects of the experience, then I think my confidence as a new graduate and my progression as a clinical practitioner would have been significantly greater. Practical CPD in the future is highly unlikely to involve groups of people huddling round a single-use physical model or hard-to-source cadaver but rather take place in the infinite bounds of the digital environment, where specific training scenarios are but a virtual menu selection away and there is no limit to the ‘practice models’ available.
We are, I believe at the very start of this spatial computing journey in the veterinary profession, with many questions yet to be both asked and answered. I, as with many others, look forward to the day when donning a pair of smart glasses or a VR headset will be seen as a normal part of our professional experience.
How do you envisage us learning in the future? Can you imagine using Virtual or Augmented Reality to learn new skills or improve existing ones?

VR & AR in Veterinary

The presentation above is a recorded version of the same one delivered at the 2018 VR Voice ‘VR in Healthcare Symposium’ held at Harvard Medical School, Boston, USA.

Please follow the link below to access a PDF version of the full paper from the above presentation, including the results of the survey conducted on the experiences and awareness of VR and AR within the veterinary profession.

Click link below to access paper

VR & AR in Veterinary_White Paper 2018

Eiger 101 Post 7 – The City of Runners: Boston

I love to run in new places as it is often one of the very best ways to get to explore a new location and observe those little details that make it fascinating. I have already had the pleasure of running in Spain recently and so it was with excitement that I packed up my running gear once again, including the much needed cold-weather layers, and jetted off to Boston, USA. My primary purpose for a visit to the city was to speak at a Virtual Reality conference, specifically on the subject of VR in Veterinary, but I extended my stay for the week in order to explore it fully. It has long been on my list of places to visit, appealing as it does to my inner nerd, what with such prestigious landmarks as Harvard and MIT representing the epitome of geeky culture. It is, of course, also the setting for one of the premier running events of the calendar, namely the Boston Marathon. As such I knew that it was bound to be a runners’ city and I was not disappointed.
During the planning phase of the trip I looked into both suggested runs in the city, with the classic Charles River loop coming out on top, and also sought out some groups that I might be able to join for one or two runs, thus injecting a little social experience into my pavement pounding. The group that caught my attention was the Heartbreak Hill Runners, an enthusiastic and, as I soon discovered, large group of runners of all levels that meet for regular sessions, congregating out of one of the group’s several shops. The session I joined in with was their weekly Saturday morning long run, which happened to coincide nicely with my own training schedule mandated long run. Bonus! Getting out to the start point was a bit of a mission as it was located in the suburbs of Boston, specifically Newton, and for some reason the metro that morning was on super duper slow mode, with a replacement bus having to be used for part of the journey. Instead of being super early, as had been my intention, I ended up having to jog from the final metro station to the shop, although we didn’t actually set off for a little while longer.
Situated on a corner, the Heartbreak Hill Runners shop was modest in size but packed with not only an impressive array of running merchandise but was crammed with people! I had not expected there to be quite so many in attendance and was even more impressed when I was given a wristband after registering – this apparently entitled me to make use of the aid stations that were put on – and had the option to leave my bag in a secure part of the store while we all ran. All very organised indeed. After a briefing from head coach and owner Dan – most people there were in the final weeks of training for the Boston marathon – we were encouraged to shuffle outside, find our respective pacers and to get going. I was expecting just a casual small group run but what it seemed to be was a very well organised mass event – this truly did seem to be the city of runners, an impression that was further reinforced by the fact that there were clearly lots of other groups out training as well, in addition to loads of other aid stations, complete with cheering spectators and supplies. I couldn’t help smiling at the thought that even the supporters seemed to train for the Boston marathon!
The looped course took us up Heartbreak Hill, along the edge of the nearby reservoir and past Boston College, before taking in another long, steady climb and a relatively flat, fast return to the shop. Many of those running were due to do 3 hours of continuous running, meaning multiple loops. As tempted as I was to join them in this pursuit I only had a half marathon distance pencilled in and so after scaling Heartbreak Hill and reaching Boston College for the second time I about-turned and returned to the shop. Feeling buoyed by my efforts and loving the general atmosphere of the shop, the team and the whole morning I felt compelled to purchase a couple of awesome T-shirts, designed there in Boston by a couple of runners, snapped a couple of pics and even had the honour of making it onto their famous wall of mugshots 🙂
Having experienced the feeling of being a runner in Boston on a normal week I can only begin to imagine how electric the atmosphere must be for the annual marathon. Who knows: perhaps I shall be back someday to find out first-hand.

Eiger Ultra – It’s On… What the Actual F Have I Let Myself In For?!

Anyone who has ever put themselves through an endurance event, such as an Ironman race or a marathon, will recognise the description of the (often) many moments during the event when thoughts inevitably turn a little dark and take the form of “why, oh why, do I do this to myself?! What made me sign up for this hell?! That’s it! This is the last time…. never again!” Then, as one crosses the finish line, how those very thoughts pretty much instantly transform into ones of elated euphoria and a wry smile as you tell anyone who asks if you’ll do another, “well, never say never, eh,” meaning “yes, almost certainly yes.” It is the biological shot in the arm and natural high from endorphins and the incredible sense of achievement that follows completion of a really tough athletic challenge that sees us return to the endurance pantheon and continue to push ourselves on and on, higher and higher, harder and harder. Time and time again.

 

I’m no exception to this apparent rule and so it seemed almost inevitable that following the completion of two iron distance races, and two solid years of equally relentless training, my thoughts turned once again to event options. I had tried the whole ‘training just to keep fit for fitness sake’ thing and it really didn’t work – I NEED a specific goal and that invariably means an event to train for. One thing I realised from long course triathlon was that I was neither a natural nor an enthusiastic cyclist whereas the running I did enjoy – a fact that really saved both of my iron distance races given that the run came at the end. As such I decided that I wanted to focus more on running as I moved forward and in probably a very cliched way I looked to endurance options, namely ultra-marathons.

 

I first heard the term ‘ultra-marathon’ whilst at vet school as one of the farm residents, a great guy by the name of Ben, was known for running them. The prospect at that stage of running even a normal marathon seemed extreme and so I considered those who went well beyond that to be, well, a bit mental. Fast forward many years and having become well and truly initiated into the endurance sport world the idea of ‘going long’ was no longer an alien concept. In fact, it sort of felt like the natural progression.

 

Having made the decision to focus on running, and specifically trail, last season I got involved by joining Dubai’s Desert Trail Runners, headed up by running machine, Lee Harris, and closed out my first winter by taking on the famed Wadi Bih 72km race, which you can read more about here. As with most races, the lingering thought following completion of the event was “I wonder what I could have done were I to train harder?” It was this thought that drove me to look at race options and to find a really special event for which to train. The Eiger 101 was that race.

 

As soon as I found out about the Eiger I was smitten. For a start I love the mountains, a fact that was a major draw for me doing the Lake Tahoe Ironman in 2015, and the views that runners are blessed with during the Eiger 101 are legendary. Secondly, it is regarded as a tough race. A very tough race. Who wants easy, right? The difficulty factor applies not only to the actual course but also to actually getting a slot, with only 600 starts available for the 101km race, all of which sell out very quickly. I had tried to register last year in 2016, for the 2017 race, but was too late and so this year I was determined to do all I could to maximise my chances of a slot.

 

With the 31st October firmly penciled into my calendar and my credit card details at the ready, I was sat at my computer as the clock crept towards the 10am (Swiss time) mark. Tick. Tock. Open. Cue the kind of frantic clicking and typing that is normally reserved for efforts to secure Glastonbury tickets, coupled with the intense frustration that came with getting repeatedly booted out of the reservation page and/ or having the page fail as I was headed into the final payment screen. Twenty fruitless minutes later and I was no closer to being registered AND was now expected to actually start some work, having cheekily blocked out my first appointment of the day so as to be able to focus on the race booking. I was convinced that once again my efforts had been thwarted as I was presented with a screen that said something akin to “you’re in a digital queue,” before that became, “sorry but booking is now closed.” Grr! Twenty minutes of my life, nada to show for it and the prospect of the very race I had started training hard for having moved firmly out of reach. Needless to say I was peeved.

 

That was until an email pinged into my account that seemed to be telling me in no uncertain terms that I had, in fact, secured a place and I was duly invited to pay for it. So I did. How a day can about face and turn 180-degrees in a moment! So that was it….. I was in. I AM in. Awesome! But wait……that means I now have to run it. 101 kilometres. Up and down serious mountains. Holy s*$t! What have I let myself in for?!

 

The Eiger 101 – What Exactly Is It?

A run. A very, very long run. Up and down some of the most majestic mountains in the world. The first event was held in 2013 so it is still a relatively young race, with options for shorter distances on offer alongside the 101 km event. The route takes runners on a roughly – very roughly – circular route starting in the Swiss village of Grindelwald, high up in the Alps, returning after taking in the best of the surrounding mountains, meadows and forests.

 

From what I can glean from the various blogs (see below) I have scoured since securing my slot in 2018’s race, the fastest times for the full distance come in at about 12 hours, with the cutoff being 26 hours. It would seem from what I have read that a fit amateur could be very happy with a time of around 20 hours. That’s a long time out on your feet and up in the mountains – certainly a lot longer than anything I would expect to face in an Ironman race. As such, I look forward to a very different approach to training for this event – this will be as much a cerebral challenge as a physical one. Bring it on!

 

Click here to visit the Eiger Ultra website & learn more about this epic event.

 

Some of the great blog posts I have had the pleasure to find & read since signing up to the Eiger 101, with some of the key take-aways summarised:

 

 

http://martin.criminale.com/2016/07/eiger-ultra-trail-101k.html#.WgllRIZx25c

  • Felt long – closer to 120km based on his watch
  • Very vertical!
  • Use poles
  • Don’t go in with any mental baggage
  • Did it in about 18 hours
  • Views are just breathtaking!
  • Tough race – a full THIRD of the 600 runners who started DNF’d!
  • Lots & lots of mental toughness required!
  • Injinji socks – NO BLISTERS
  • Take a camera

 

http://www.dromeus.com/the-eiger-ultra-trail-a-human-experience/

  • A real sense of ‘togetherness’
  • Lots of concentration required – high alpine trails & not well groomed
  • Electrolytes important
  • Harder than the UTMB!

 

The First Ever Eiger Ultra Trail

 

Race Report – The Eiger Ultra Trail e101

http://paleo-runner.blogspot.ae/2014/07/eiger-ultra-trail-101km-2014-rr.html

 

http://dgjury.me/p/02388045-eiger-ultra-trail-e101

Blurring the Lines – A New Digital Approach to Immersive Veterinary Education

“The great aim of education is not knowledge, but action.” These words, spoken by the philosopher Herbert Spencer, ring true and can, in my opinion, also be applied inversely. That is to say action delivers great education. For far too long the accepted model for delivering knowledge and training professionals such as vets has been to sit them all down in a lecture hall, drone on at them for hours on end, demand that they go off, read, write the odd essay and complete the occasional project, and then ask them to cram all of that supposed knowledge into their brains ready to regurgitate at will during the course of an exam or nine.
Granted there are also practical elements to most of these programmes, whether it be dissection, physiology labs or animal handling, but the bulk of the training has always been delivered in much the same manner: didactic instruction. For some this approach works and they go away retaining everything that they have heard. For most, however, myself included, it represents a dated and unbelievably inefficient method. Hence the need to condemn weeks to tedious, stress-induced revision before the big assessments. I always found it much easier, way less stressful and frankly more fun to learn by actually doing, seeing, touching or otherwise interacting with the subject matter at hand. Most of what I recall from anatomy training, for example, are the random little moments in the dissection lab when I recall physically holding a specimen and examining it. I can’t for the life of me easily recall a specific moment when I turned to a textbook page and had a piece of knowledge stick in perpetuity.
Whilst it is acknowledged by many educators that practical instruction has better outcomes in terms of understanding and long-term knowledge and skills retention, the fact of the matter is that preparing and delivering a lecture is significantly cheaper, quicker and easier to achieve, whilst the results of that labor can be shared far more widely than a practical session. In terms of resources, acquiring digital photos, videos and other screen-based media is far less costly and labor intensive than drawing together and delivering a tangible, practical learning tool, such as an anatomy specimen. Some of these barriers, I believe, are now finally being lifted and the costs, both in terms of time, effort and direct financial outlay, are narrowing between the old and the digital new. The implications for education and training at every level of schooling, from kids’ first school experience right through to professional CPD (continuing professional development), is profound and I wish to explore why I believe that to be so.

Mixed Reality & Virtual Reality

I first experienced both mixed reality and high-end virtual reality in 2015 and again in 2016 when I volunteered at the Augmented World Expo in Silicon Valley. The power of both technologies to fundamentally change how education outcomes are achieved and training delivered was clearly evident and left me convinced that the future of medical, including veterinary, education was in the application of these new immersive tools.
HoloLens, AWE 2016
Microsoft’s HoloLens offers users the ability to experience mixed reality

In 2016 I was fortunate enough to be at one of the conference parties where someone happened to have two Microsoft HoloLens headsets and was demonstrating them to the small crowd of curious nerds that had gathered around him. Well, I was one of those nerds and before long had the pleasure of donning one of the sets and so was introduced to the wonders of true mixed reality.

AWE 2016, HoloLens
Interacting with objects in mixed reality is as simple as reaching out and ‘touching’ them.

Much like a small welding mask, in both look and feel, the HoloLens is essentially a set of transparent screens that sit in one’s field of view by means of the headstraps that keep the device in place. Whilst not especially comfortable and certainly not something anyone is going to ever be in a rush to wear out in public on account of looking, frankly, ridiculous, the experience that it delivered was compelling. With the use of a simple gesture, specifically an upward ‘throwing’ movement, a menu popped into view suspended perfectly in mid-air and crystal clear as if it were right there in the real world in plain sight of everyone around me. Of course it wasn’t and the only person able to see this hologram was me. Selecting from the menu was as simple as reaching out and ‘touching’ the desired option and within seconds a holographic representation of the Earth was spinning languidly before me. I could ‘pick up’, ‘move’ and otherwise manipulate the item in front of me as though it were a physical object, and if I did move it, for example off to the right, out of my field of view, that is precisely where it remained and where I found it again when I turned back round. The human body application was similarly cool, as I was able to explore the various layers of anatomy through interaction with a highly rendered hologram. Whilst comical for onlookers not wearing a HoloLens, as I appeared to apparently be pawing away at thin air like someone suffering a particularly lucid acid hallucination, the thrill of what I was actually seeing and engaging with myself allowed me to ignore my daft appearance.

 

What are the medical education applications for such mixed reality technology? Whilst holographic visual representations of anatomy are, at first, a magical phenomemon to experience and a pretty cool party piece, it is the fact that mixed reality sees realistic holograms merged, or so it appears to the user, onto the real world, in contrast to virtual reality, which replaces the real world experience with an entirely digital one, that lends itself to unique educational applications. Anatomy instruction by being able to accurately overlay and track in real-time deeper layers onto a real-world physical specimen, enabling students to understand the wider context in which various anatomical structures sit is a far more compelling and useful application of MR than a simple floating graphic. Similarly, surgical training involving holographic overlays onto a real-world, physical object or combined with haptic technology to elicit tactile feedback, offers the potential to deliver programmable, repeatable, easily accessible practical training with minimal expense and zero waste on account of there being no need to have physical biological specimens.

 

Imagine: a fully-functional and resourced dissection and surgical training lab right there in your clinic or home and all at the press of a digital button. Imagine how confident you would become at that new, nerve-wracking surgical procedure if you had the ability to practice again and again and again, physically making the required cuts and placing the necessary implant, being able to make the inevitable mistakes that come with learning anything new but at zero risk to your patient. Being able to step up to the surgical plate for real and carry out that same procedure that you have rehearsed and developed refined muscle memory for, feeling the confidence that a board-certified specialist with years of experience has, and all without having had to put a single animal at risk – that’s powerful. That’s true action-based education at it’s most compelling and it is a future that both VR and MR promises.

 

I predict that the wide adoption of graphically rich, immersive and realistic digital CPD programmes, through both VR and MR, will result in a renewed engagement of professionals with CPD training and ultimately lead to more confident, skilled, professionally satisfied and happier clinicians. I, for one, know that were I able to complete practical CPD by simply donning a headset and loading up a Vive or HoloLens experience from the comfort and convenience of my clinic or home, all whilst still being able to interact in real-time with colleagues both physically present and remote, my CPD record would be bursting at the seams. That has to be a great thing for the profession, our clients and society in general.

A Fourth View on Three Sports

Following on from my recent post regarding Augmented Reality, Virtual Reality and their potential impact on our sporting lives, specifically skydiving, I thought I would take a look at how AR & VR might add to the other big sport in my life: triathlon.

Triathlon involves training and racing in three separate disciplines, with races ranging in total distance from super-sprint to Ironman and beyond. Data does play a role in both training and competing, whether it be keeping track of 100m splits in the pool, or sticking to a pre-defined power zone whilst on the bike. I think it would be safe to say that pretty much all of us rely, to some degree, on a sports watch, or athletic tracker of some description, with the required data available for monitoring live or analysing after the event.

AR offers the chance to have the most important and relevant data visible without breaking the rhythm of a workout, adding to the quality of the experience and value of the training or outcome of the effort.

 

SWIM – AR may not be the most obvious technology for use in an aquatic environment but I see AR offering some real advantages to those training both in the pool and open water. As far as I am aware there are no currently available AR systems for use with goggles, but with the advances being seen in the field, especially by companies specialising in athletic applications of AR, such as Recon Instruments (www.reconinstruments.com), I do not imagine it will be long before AR reaches the water.

  • Training data – the usual information that one might glance at a watch for, such as lap count, 100m lap times, heart rate and other such swim metrics could be easily projected into view, thus making such data available without having to break the flow of a swim workout.
  • Sighting & ‘staying on course’ – any open water swimmer will admit that sighting and staying truly on course can prove troublesome, during both training and especially races. Swimming further than is necessary is both a waste of energy and impacts on race time, and having to frequently sight disrupts smooth swimming action, again, impacting energy efficiency and swim time. Imagine having a virtual course line to follow, much like a pool line, projected into view both when you look down (as if looking at the pool floor) and when you do look up to sight, such that staying on course is as simple as ensuring you follow the line? Less ‘open swim wobble’ and a faster, more efficient swim.
Goggles, AR
Important swim data & virtual sight line projected into view using Augmented Reality-equipped goggles.

 

BIKE & RUN – systems do already exist that provide AR for both cyclists and runners, with the Jet, from Recon Instruments, being one such system. A range of metrics, including the usual – speed, average speed, heart rate, power, distance – could all easily be projected in AR. With GPS technology and mapping one could have a new cycle or run route virtually projected in order to follow a new course or how about having a virtual running partner/ pacemaker running alongside or just in front of you, pushing you that little bit harder than you may otherwise train? The limits to the uses of AR in both bike and run settings are really only limited by imagination, with the technology rapidly catching up with the former.

Cycling, cycle training
Augmented Reality data during cycle training

 

Cycling, AR, photo
Capture those awesome training and race moments without even having to look away. That’s the power of AR.
VR in bike & run – living in the UAE training outside in the summer months gets very testing, with any attempt at venturing outside in an athletic capacity after about 9am simply leading to guaranteed heat stroke. As such, the turbo trainer does get significantly more use at this time of year. It is, however, really dull! There are ways to engage the mind during such indoor sessions, from video-based systems such as Sufferfest and those available from Tacx.com, and of course the option of simply watching movies, but imagine how much more immersive and enjoyable an experience indoor training could be if it were possible to digitally export yourself fully to suitable setting. VR offers what even multiple screens can’t – full immersion! Training for a specific race? Fancy taking on a famous route but can’t spend the time and money travelling to the location? VR promises to solve these issues by taking you there. Again, there are companies working on this technology, with startups such as Widerun (www.widerun.com) pushing the envelope in this area.

Normal People Don’t Do This

It’s gone midnight, it’s pitch black apart from the small slits of light emitted in front by our respective bike lights and the twinkling lights of the highway off in the distance, and we still have another two hours to go. Ordinarily I would be found out on the Al Qudra desert cycle track – all 50km of this tarmac loop stretching off into the desert before spinning back towards civilisation again – most Friday mornings, when it seems most of the cycling and triathlon community of Dubai drag themselves up early, don their lycra and venture out in pairs or packs (rarely solo) for one, two, maybe more loops of this wonderful training resource we have. Not this week though.

With the daytime temperatures now reaching the mid to high forties, and the humidity knocking on uncomfortable, training in the daylight is simply becoming a silly thing to attempt to do. The value derived from braving the fierce heat is, in my opinion, negligible whilst the risk of simply getting sunburnt and succumbing to heat exhaustion makes it not worth attempting. So….. training simply ceases, right? No. Training continues. In fact, training is increasing in volume and intensity as I find myself a mere 12 weeks away from standing at the start line of Ironman Lake Tahoe. What has to happen then is to either train indoors, which I find impossibly dull, or to become nocturnal. Hence why we find ourselves peddling around in the desert in the first hours of Friday morning.

My programme prescribed a 5 hour bike ride with a run off the back of it for this week and so I pitched the idea of a Thursday night cycle marathon to the triathlon community here in Dubai. A few people got back to me and so it was arranged that we would meet at 9pm at the start of the AQ loop. I would have preferred an earlier start to be honest, especially given that 5 hours would lead to a finish after 2am, but such is the nature of working as a vet that even getting away from the clinic at 7pm was a blessing. So a quick turnaround at home, including shoveling some food down, loading up the ice vest system which I had planned to test out (didn’t need to in the end as the temperatures experienced made it redundant), and water and nutrition for the bike, it was back in the car and heading straight out to the desert.

For anyone who doesn’t know where the AQ track is, one drives past Arabian Ranches, out towards Bab Al Shams desert resort and just keep going for what feels like a long, long time. The stick (an extension of the cycle track) runs alongside the road for the last 18km of this approach before reaching a roundabout and the main parking area with amenities such as a cafe (closed at that time of night sadly) and toilets which are mercifully open all the time.

Jan cycling at nightLoop one saw four of us band together for the ride: good friend and fellow Dubai Tri Pirate, Jan; Ironman Zurich preparee, Stephen; another Ironman, Matt; and myself, yet to join the ranks of the men of metal. A fast first loop was had and we came home in good time and spirits, with Matt ending his session, which had started much earlier in the evening, and Jan, Stephen and I heading straight out for the second loop. By the end of the second legs were certainly starting to be felt and water refills were in order, as was a quick top up of the fuel tanks, although in hindsight the choice of chocolate and a can of Red Bull (I still don’t know why I touched it?!), was less than optimal, as I didn’t feel wonderful heading out on the third and final loop. Stephen spun back round at the 15km mark, as he was on track for a total distance that evening of 180km, having also started earlier, and so Jan and I forged on for the remaining 35km towards home and a total distance of 150km in a little over the target 5 hours.

One of the rather interesting features of cycling in the dead of night is that all that can be seen is what is immediately around you. As such, one cannot see the horizon, which means that the impression of it not getting any closer on those impossibly long stretches of track does not occur. Which is probably just as well given how uncomfortable I was finding the third loop. By now my legs were well and truly complaining and I unfortunately cramped up on at least two occasions, one such requiring a gritting of the teeth and some real willpower to move through. I am still in the process of figuring out my optimal nutrition plan for the bike, and suspect that it may have had a role to play. Although I had taken electrolyte in the bottles, I wonder whether I should have added additional at the water bottle refill after our second loop and looked at something more quick release, energy wise, than the nuts and dried fruit that I had with me. The process of experimentation continues therefore.

Wildlife experiences were a little closer than usual in the day, with at least two episodes when we nearly had impact with an Oryx, as they suddenly dart out across the track. Hitting one of them would not be fun and a few bruises and some road rash would, I daresay, be the best case scenario of such an accident. We also saw several smaller species on the track, all doing their best to try and get run over, thwarted in their efforts by some quick and deft swerving on our part. A desert rat was the coolest thing I remember seeing, with its long, kangaroo-esque back feet and lengthy tail that made it look like a Stretch Armstrong version of a gerbil.

Chris cycling at nightHowever, even the interesting nocturnal activities of the desert wildlife could do little to distract me by the end of the third, and thankfully final, loop as my legs were screaming at me to stop. If I hadn’t fully appreciated the enormity of the challenge that I face in September before then I do so now, as I simply felt unable to even contemplate any further time on the bike. Unfortunately I found myself feeling a little dizzy (again, inadequate nutrition? Or maybe pure fatigue, as it was afterall gone 2am?). Anyway, it did mean that venturing out solo for my run felt like a poor idea and so I made the executive decision to forgo that element of the session and head home. The drive itself was a challenge as I had to stop at one point back towards Arabian Ranches to deal with a sudden onset of cramp in my driving leg, and then there was the very real risk of actually falling asleep at the wheel that I had to contend with. Scary stuff indeed and I was ecstatic at arriving back, dumping my stuff in the house, grabbing a much needed protein shake and a shower before collapsing into bed for what ended up being an epic and well deserved period of sleep. All in all, a big session but nothing compared to what is to come. Thank you sincerely to both Stephen and Jan for accompanying me out and if it were not for Jan and his encouragement that third and final loop would have been sheer and utter torture.

Main points:

  1. Cycling at night is certainly much more comfortable in terms of the heat, with the temperatures a perfect mid to late twenties for most of the time, and at times even a little on the noticeably chilly side. This certainly translated into faster speeds at the same effort than would be possible at higher temperatures.
  2. The track was very, very quiet, as one would expect at those insane times. In fact, the only other people we saw were two cyclists going in the opposite direction on both of the first two loops. There were then a couple of crazy morning warriors clearly starting when we finished at gone 2am, otherwise the track and desert belonged solely to us.
  3. In spite of the challenges and discomfort associated with heading out overnight, the fact that I was able to simply sleep on through Friday morning did make it all worthwhile.
  4. Nutrition is still something I need to figure out. I should not have cramped up and I suspect that I need to examine my electrolyte intake more closely. I shall not be taking Red Bull out again and some more natural quick release energy sources, such as bananas, may have been of more use during the actual cycling.

Let Me Rescue You. Cos I Can.

Dibba Rock as seen from the dive centre
Dibba Rock as seen from the dive centre

It was a year ago that I decided to sign up online to do my PADI Rescue Diver course, the natural progression after Advanced Open Water and a qualification that I had heard was well worth doing. A year whizzed by, with the occasional dive thrown in but nothing much done about the course owing in large part to the sudden draw on the majority of my spare time that has come with training for my Ironvet race in September.

With the online course about to time out it was time to knuckle down, do some studying and get the course finished, which I duly did, and then booked my practical training with Freestyle Divers in Dibba. The course covers everything from how to recognise potential risks whilst diving, to managing situations involving tired, panicked and unconscious divers, including those who have gone missing. With the theory firmly established in my brain I was looking forward to getting stuck into the water-based practicals.

Emergency First ResponseThe first thing we had to do before starting the Rescue Diver practical training was complete the Emergency First Response course, a one day training programme that equipped both myself and my buddy for the course, Sabah, with the skills to manage an emergency as a first responder, focusing on essential CPR and first aid. I now have the right to be able to utter the words “My name is Chris. I am an emergency first responder. May I help you?” if ever I find myself in a situation during which to actually say them.

Sabah & I celebrate becoming Emergency First Responders
Sabah & I celebrate becoming Emergency First Responders

With day 1 spent getting our EFR training out of the way, day 2 was all about starting the Rescue Diver practical training, with 10 distinct sections to get through, including how to respond to a tired diver in the water, approaching and, if necessary, controlling a panicked diver, and rescues from the boat. We also ran through how to surface an unconscious diver from underwater, and how to get said victim to safety, including the various techniques for getting them out of the water and either into a boat or the beach. One thing that became very evident is just how tough it is to lift and otherwise move around someone who is unconscious – no where near as effortless as they seem to make it out to be on films!

Freestyle DiversWe didn’t quite manage to get through everything on day 2 so Sabah and I arranged to return to Dibba on our next mutual day off to complete the course and claim our titles of Rescue Divers. Day 3 was more involved, with the most important exercise being learning how to manage an unconscious, non-breathing diver in the water, including towing them to safety whilst providing rescue breaths and removing their diving gear – again, not an easy task and well worth practicing! The final part of the course, apart from the written exam at the end of the day, was a scenario whereby our instructors staged a real rescue situation in which one of them had gone missing, with their buddy reaching out to us for help. As such, we had to gather essential information from the missing diver’s buddy, formulate a search plan and pattern, locate the missing diver and surface them after confirming unconsciousness, and then tow them back to the safety of the beach before removing them from the water and instituting essential first aid, including CPR.

It is true what they say about the PADI Rescue course being the most fun of the PADI courses, and the skills developed are defintely ones that will help expand my enjoyment of diving, in addition to feeling as though I can now be useful if an emergency situation ever does present itself.

With my new temporary licence :)
With my new temporary licence 🙂

Many thanks to the team down at Freestyle Divers in Dibba, and especially our instructor for the course Amir El-kader, who did a sterling job of taking two enthusiastic open water divers and morphing us into bona fida Rescue Divers. Also thanks to both Rhys and Andy, both of whom played diving victims amiably, putting up with our efforts to ‘save’ them, including dragging them from the water somewhat unceremoniously, in the true good-natured spirit of the course.

Heights of Training

There is nothing quite as refreshing and enjoyable as the rush of cool, clean air flowing over you, zapping away the heat and sweat of a steady, concerted effort, especially when accompanied by the heady aroma of exotic herbs and the sound of nothing more than your own breath, the rush of the breeze and the whizz of a freewheeling bike. A little piece of paradise right here on Earth!

At the top of Generator Hill
At the top of Generator Hill

With September’s Ironman race in California set to be a hilly one on account of Lake Tahoe being an alpine setting, hill training of some form or another is a pre-requisite of my preparation for the big day. Compared to Europe, however, the selection of truly big hills on which to cycle here in the UAE is a little more limited. Hatta, sitting about 10km from the Oman border, is one of the options we UAE cyclists have and the route from the Hatta Fort Hotel, a beautiful oasis of tranquility, up and over towards the Kalba side of the range is a fantastic workout.

I first experienced these same hills almost exactly a year ago when I arrived in Dubai. On that occasion I was a fresh-faced young Tri Pirate and barely made it a third of the way up what felt at the time like the steepest, highest, longest mountains I had ever had the misfortune to try and pedal a bike up. As it turned out I ended up having to bow out and jump in the support car such was my level of sheer fatigue on attempting to conquer the Hatta Hills. Fast forward twelve months and the difference that training makes is clear to see.

Hatta cyclistsTrace and Barbara had arranged for SuperTri to base ourselves at the Hatta Fort Hotel on Thursday evening in preparation for an early 5am start and a full on hill session, with some running thrown in for good measure. The plan was to start at the hotel, cycle the twenty odd kilometers to the small shop by the roundabout the other side of the Hatta range, before returning, parking our bikes back at the hotel and setting off on a short 2km run, making for a good brick session. And to do this three times!

Shoes lined up ready for transition from the bike
Shoes lined up ready for transition from the bike

In spite of not feeling in tip top state right at the start, as soon as I was up and away on the bike something just clicked and I was away, leading the charge as we started our first ascent. In spite of cycling with guys who I would normally expect to royally thrash me on the bike I found myself in the rather satisfying position of remaining out at the front for the entire session, eventually finishing a full 2km ahead of the next triathlete, both us being the only ones to push on through for the full three repeats, a tough undertaking given how quickly and precipitously the desert heat ratcheted up once it hit 8am. A super session indeed!

There is something quite magical about the hill rides, whether it be the knowledge that you’re going to have to really dig deep and hard for the push to the top, cresting just as you imagine your heart is about to explode out of your chest, to then have the blissful ecstasy of a long, cool, exhilarating coast down the other side, providing the legs with a well-earned rest and serving up the excitement of a rapid descent which saw me at times whooping and hollering like a six year old who had just been out on his first bike ride.

There is a variety, in terms of the terrain, scenery, including wildlife, smells, sounds and people encountered that we just don’t get cycling on the big desert loop of Al Qudra, and it is one of the factors that I think leads to me finding cycling here so much more enjoyable and as a result why I seem to be performing well on the hills.

I am under no illusion that there need to be many more visits to Hatta before September and the truth is that the same sessions are going to have to a) start earlier, and b) will end up being hotter, sweatier and generally a little bit more uncomfortable than they have to date, what with summer very much upon us. Even in the face of these facts I still know they will be some of my favourites.

Hatta Fort Hotel poolThe Hatta Fort Hotel is the perfect starting point for anyone looking to explore the Hatta Hills on two wheels and I arrived on Thursday afternoon, having booked a chalet-style room for only 375 AED for the night. This did not include dinner or the famous ‘Biker Breakfast’ the following morning, although the additional expense was reasonable. The rooms resemble what one might expect from a small game lodge, with all of the usual trimmings and a bathroom almost as big as the room itself.

hatta fort hotel gateOn arrival, it was a pleasure to be able to amble down to the beautiful outdoor pool, one of two, with views out over the surrounding countryside, across the expanse of lawn that runs down the hill towards the main gate and the town of Hatta itself. Completing my 2km training swim before sunset and then dinner was easy when in such blissful surroundings – if only one could train with such views all of the time. One thing is for sure: when given the choice of staying the night at the hotel, rising at a more sensible and less brutal 4am, or a 2.30am start from Dubai, I know which I now prefer!