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Nearly 50 years ago I fell in love with running. I was far from a natural. When I was 8 years old, I was struck by an illness that left me with pneumonia in both lungs with one lung being collapsed. I survived that but was left with asthma that persists to this day. This was unfortunate as I loved sports. Asthma more or less disqualified me from participating in “running sports, " leaving me only with baseball as something I could do relatively comfortably.
In high school, I wanted to try wrestling. I figured that I could handle three 2-minute periods. However, I would soon learn that a lot of the training involved running and I struggled mightily to keep up with the other kids early in the season. The next season I hit upon the idea to ask our cross-country coach if I could train with that team, though not be part of the team. In this way, I could be conditioned before the start of wrestling season. And during wrestling season, I would show up two hours before the match to check my weight and run 2-4 miles before weigh-in.
I graduated high school, but the running never stopped. I ran every weekend (4-10 miles each day) for decades. Running was so important to me that when setting up one of my company offices in Japan, I purposely chose a location in a place with a suitable place to run, near the Emperor’s Palace near Tokyo Station. The palace is surrounded by a circular (3km) moat that is a popular running destination. My ritual was that after a week of business, I would do four laps around the palace and then fly home to San Francisco.
Though I loved running I was never interested in racing until about age 50. In 2010, my new son-in-law invited me to join him in a 5K fun run in Lafayette. Passing all those 20-year-olds was all I needed to get the “bug.” I went on to run many dozens of races over the next years, mostly marathons, an ultra, and a triathlon. I was in the best shape of my life, rarely got sick, and was at the top of the world. That would change dramatically.
In 2013, I started noticing that on some days I would experience a strange fatigue that required me to take a walking break. I remember one day that I cut one of my runs short because I was disgusted with my performance. I kept my running clothes on and decided that I would try again later that day. That was the time I set a new PR for that training course. Something was not right, and these episodes of fatigue were increasing in frequency.
The last marathon I ran was in April 2016, a miserable affair clocking in a 4:53. By September, I couldn’t run a mile without a break. I complained to every doctor I met that “something was wrong”, but the standard response was that I was just getting older and I needed to lower my expectations. Even a cardiologist I had seen 10 years earlier told me that there was nothing wrong with me and even quipped “Guys like you are bad for business.” I wasn’t amused.
Finally, in 2019, my asthma doctor recommended a private practice cardiologist in Los Altos who might be willing to work with me. She spent two hours examining me, including an EKG and blood work. She found no problems but listened to my story about my newfound exercise intolerance. She said the only way to get to the bottom of it was to put me under a cardiac stress test.
I showed up at the hospital and they were ready for me. My doctor was there along with two technicians: one to operate the treadmill and monitor the EKG, and one with an echocardiogram scanner for a pre- and post-test scan of my heart. About 15 minutes into the test, about the same interval that I would experience fatigue during a run, the EKG technician exclaimed “Doctor!” and ran out of the room. The doctor told me to stop, asked me if I was OK, and asked me to lie down and have the other technician scan me.
The EKG technician quickly reappeared with defibrillating paddles and was stunned that I was calmly talking to the doctor. The cause of my fatigue was now clear– I was having a heart attack. A very deadly one at that, called Ventricular Tachycardia (VT) in which the top and bottom chambers beat at different rates causing your heart to stop pumping.
Now that the mystery was solved (I was not “fine”), we needed to identify the cause of this electrical misfiring. I was then directed to a cardiac electrophysiologist (EP) that specializes in this sort of disorder. He also took several hours to explain that there are nearly a dozen potential causes of this, and nearly all of them treatable. There was one (the least likely) however, that was not so easily treatable.
As it turns out, the least likely one Cardiac Sarcoidosis, was the one. This is a rare auto-immune disease that typically attacks the lungs but in even rarer cases can attack the heart. Lucky me. These “attacks” leave scar tissue on the heart that disrupts the normal electrical activity of the heart. My EP regretted telling me that this was out of his skill area and needed to refer me to Stanford where they have a cardiologist that specializes in this.
My experience at Stanford was great where a team of cardiologists took care of me. The first step was to see if the VT response to exercise was repeatable (it was). The second step was to confirm that sarcoidosis auto-immune cells were present in my body. The result of that test was positive. The cells were present, but the good news was that they were no longer in my heart and were “dormant.” But the damage was done. The final step was to install an implantable cardiac defibrillator (ICD) in my chest that has two wires screwed into the side of my heart. In case of a sustained VT episode, the ICD would automatically shock me back into rhythm.
My ICD was installed on February 12, 2020 shortly before the Covid lockdown. I cleared to begin running after about six weeks which I gleefully did after eight months of no running and four years of poor running. I am happy to report that I have had zero VT episodes, nor any other serious arrhythmias since the ICD was installed.
But my story is not quite over. Despite the lack of arrhythmias, my running performance has not returned to pre-sarcoidosis levels. I’ve worked with the Stanford cardiology team who have reiterated that my heart is working perfectly. With that ruled out, I asked for a referral to their pulmonary team to see whether there might be some lung function issues that are interfering with my return to normalcy. Like with my heart, I undertook a battery of tests looking for anything unusual.
The results of all these tests were that my lungs, despite a lifetime of asthma are working quite well. The penultimate step in this battery was a cardiopulmonary exercise test (CPET) that is most commonly used to test professional athletes. Despite my running complaints, the tests showed that my body was responding fairly well to exercise as I posted a 12.2 MET (Metaboloic Equivalent of Task).
I studied the voluminous data from the CPET and was struck by one thing– max heart rate. No, not the calculated 220-<age> that most runners are familiar with, but rather seeing that my heart rate levels off at 149 bpm and can go no higher no matter the stress. This is Father Time making his presence known. The reason I can no longer run as fast as I used to is because my heart can’t pump fast enough to generate the required oxygen to propel my body at those speeds. It's basic physics, so simple.
I decided to investigate this briefly and look at some representative races to see if I could see this in actual race data. I looked at the data from the California International Marathonfrom 2022 curious to see an age-related pattern. During my short racing career, I would typically place in the top 20% of my age bracket. I extracted data for Mens Masters into a chart to show Max HR vs. the top finisher and the top 20% finisher. This has given me some consolation that the slowdown is natural and will continue.
One more thing I’d like to share, especially with older runners. Since the ICD, I have found it hard to rebuild my aerobic base. I’ve concluded that the reason for this is that I was still trying to train like when I was a teenager back when my Max HR was 200! Somewhere in my memory banks, I recalled something about low heart rate training and quickly found the MAF methodby Dr. Phil Maffetone. In a nutshell, Maffetone advises training at ultra-low heart rates (180-<age>) to develop a core aerobic base. The process can take 3-6 months and involves running at an agonizingly slow pace (at first.) I am happy to report that this is the one thing that is working for me and for the first time in a long time I am again running with joy.
This has been a very personal story but one that I thought I should share with our running community. I feel that running may have saved my life. If I hadn’t challenged my doctors that I was not “fine” the worst could have happened. We runners know our bodies better than anyone and when something doesn’t feel right, it’s probably not. Don’t be afraid to aggressively advocate for yourself. Your life might depend on it.
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Melissa Jefferson-Wooden delivered a sensational performance in Budapest, storming to victory in the women’s 100m at the inaugural World Athletics Ultimate Championship in a breathtaking 10.62 seconds.
The American produced a superb display of acceleration and composure to claim the World Ultimate Championship title while recording the fastest women’s 100m time in the world this year. Her 10.62 mark underlined her exceptional form and placed her firmly at the top of the global sprinting hierarchy.
Jefferson-Wooden controlled the race through the decisive stages and maintained her form all the way to the finish to secure a statement victory against a field packed with championship pedigree. She crossed the line ahead of Olympic champion Julien Alfred, who clocked 10.74 seconds with a -0.2 m/s wind, while Sha’Carri Richardson took third in 10.76.
Women’s 100m Final
1. Melissa Jefferson-Wooden — 10.62
2. Julien Alfred — 10.74 (-0.2 m/s)
3. Sha’Carri Richardson — 10.76
The victory was especially significant given the quality of the opposition. Jefferson-Wooden held her nerve against Alfred and Richardson, two of the most accomplished sprinters of the current generation, to produce the fastest performance in the world this year when it mattered most.
Alfred once again demonstrated her consistency at the highest level by taking silver, while Richardson completed an all-star podium in a race that brought together three of the biggest names in women’s sprinting.
But beyond the time, the title and the celebration, one of the most touching moments came after the race when Jefferson-Wooden embraced her father, Melvin, in an emotional celebration.
Their moment carried a deeply personal meaning. When Melissa was just 17 years old, she donated her stem cells to help her father undergo a bone marrow transplant after he was diagnosed with myelodysplastic syndrome. Years later, the two shared an unforgettable embrace in Budapest after she had become the World Ultimate Champion.
For Jefferson-Wooden, however, the evening was about far more than a medal. It was the culmination of an extraordinary journey, now highlighted by a world-leading 10.62 seconds on one of the biggest stages in athletics.
With the Ultimate Championship title secured and her father by her side, Jefferson-Wooden leaves Budapest with more than being an ultimate champion. She leaves with momentum, confidence and a powerful statement of intent — turning a high-profile showdown into one of the defining sprint performances of her season.
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Audrey Werro has added another major title to her extraordinary season, storming to victory in the women’s 800m at the inaugural World Athletics Ultimate Championships in Budapest.
The Swiss star delivered a commanding performance, taking control from the opening gun and refusing to surrender the lead as she powered through an absorbing battle against two of the biggest names in the event.
Werro stopped the clock at 1:55.88 to become the Ultimate Championships 800m champion, producing another statement performance on one of the sport’s newest and most prestigious stages.
Behind her, Great Britain’s Keely Hodgkinson fought her way to second in 1:56.26, while the Netherlands’ Femke Broeders-Bol completed the podium in 1:56.74.
The result once again brought together the same formidable trio that featured on the podium at the European Championships, but Werro again proved to be the athlete who could rise above the challenge when it mattered most.
Her Budapest triumph is the latest chapter in a season that has already included records, a successful Diamond League Trophy defence and European Championship gold. Now, she can add the Ultimate Championships crown to a growing list of accomplishments.
Werro’s consistency has been particularly impressive in an 800m event packed with elite talent. Rather than simply relying on a fast finish, the Swiss athlete showed her authority by taking the initiative from the beginning and maintaining enough strength and composure to hold off Hodgkinson and Broeders-Bol all the way to the line.
The victory also underlined the remarkable depth of the women’s 800m, with three athletes separated by less than a second at the finish. Hodgkinson’s 1:56.26 and Broeders-Bol’s 1:56.74 showed just how fiercely contested the race was, but Werro’s decision to dictate the pace ultimately gave her the decisive advantage.
For Werro, this was more than another medal. It was another opportunity to demonstrate that her rise is no passing moment. On a stage featuring established champions and elite rivals, she once again produced the performance required to claim the biggest prize.
For Hodgkinson, the silver medal adds another major podium finish, while Broeders-Bol once again demonstrated her ability to compete with the very best over two laps.
But the spotlight in Budapest belonged unmistakably to Werro.
With another championship crown secured, the Swiss star has strengthened her claim as the athlete setting the standard in women’s 800m running. This is Audrey Werro’s era — and the rest of the field is chasing.
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Busang Collen Kebinatshipi has delivered another sensational performance, storming to victory in the men’s 400m at the inaugural World Athletics Ultimate Championship in Budapest.
The reigning world champion stopped the clock at an astonishing 43.39 seconds, smashing his own Botswana national record and moving to fifth on the world all-time list.
Kebinatshipi produced a commanding finish to pull away from his rivals and secure the Ultimate Championship title. American star Rai Benjamin finished second in 44.15, while Jereem Richards of Trinidad and Tobago completed the podium in 44.23.
Men’s 400m
1. Busang Collen Kebinatshipi — 43.39 NR
2. Rai Benjamin — 44.15
3. Jereem Richards — 44.23
The performance is even more remarkable considering that Kebinatshipi had already rewritten the Botswana record just one week ago in Brussels, where he ran 43.40. In Budapest, he lowered that mark by another 0.01 seconds to establish a new national record of 43.39.
That improvement has also propelled the 22-year-old into rare territory. His latest time now ranks him fifth fastest in history over 400m, placing him among an extraordinary group of athletes who have broken the 43.40 barrier.
Kebinatshipi's victory also caps an extraordinary season for the Botswana star. After establishing himself as a global champion, he has continued to demonstrate that he belongs among the very best one-lap runners in the world.
And there is a major reward for his historic night in Budapest: Kebinatshipi walks away as the Ultimate Champion and $150,000 richer.
From another national record to a place among the five fastest 400m runners ever, Kebinatshipi has turned an already remarkable season into something truly special.
Botswana has its latest sprinting superstar — and Kebinatshipi is showing that his ceiling may be even higher than anyone imagined.
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Marileidy Paulino once again proved why she is the undisputed queen of the one-lap event, powering to victory in the women’s 400m at the inaugural World Athletics Ultimate Championship in Budapest.
The Dominican Republic superstar produced a sensational 49.07 seconds to claim gold, pulling decisively away in the final straight and holding off a fiercely competitive field to extend her remarkable unbeaten run.
Paulino delivered her trademark combination of controlled speed and devastating finishing strength. She remained firmly in contention through the opening stages before unleashing her decisive move down the home straight, where she quickly opened a gap on her closest challengers.
Norway’s Henriette Jæger mounted a strong challenge but could not match Paulino’s finishing speed, crossing the line second in an impressive 49.28. Jamaica’s Nickisha Pryce completed the podium after clocking 49.56, ensuring that three of the world’s leading 400m talents occupied the medals.
The result once again underlined Paulino’s extraordinary consistency at the highest level. She entered Budapest as the world leader after running 48.48 in Paris in June, a performance that also set a Diamond League record. She subsequently remained unbeaten throughout her Diamond League campaign, closing the circuit with a meeting-record 48.64 in Brussels.
Budapest has also become a special venue in Paulino’s career. Three years ago, at the same National Athletics Centre, she captured her first individual world title, marking the beginning of another dominant chapter in her career. She later added Olympic gold in Paris in 2024, further establishing herself among the defining 400m athletes of her generation.
The inaugural World Athletics Ultimate Championship has brought together the sport’s biggest stars in a new winner-takes-the-spotlight format, with Olympic and world champions, Diamond League winners and leading performers competing for ultimate honours.
For Paulino, the occasion once again ended with Ultimate Crown on her arms.
With 49.07 seconds, she did more than win another major 400m title. She delivered another statement of authority, powering through the final straight with the confidence and speed that have made her one of the most dominant figures in modern women’s athletics.
Marileidy Paulino remains unbeaten, remains relentless and, once again, remains the queen of the one lap.
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Jakob Ingebrigtsen has made a major decision regarding the remainder of his World Athletics Ultimate Championship campaign, confirming that he will withdraw from the men’s 1500m in Budapest despite producing a sensational performance to win the 5,000m title.
The Norwegian superstar stormed to victory in the inaugural Ultimate Championship 5,000m on Friday night, clocking a season-best 12:59.24 and delivering a devastating finishing kick to defeat Olympic 5,000m champion Cole Hocker and American Parker Wolfe.
Ingebrigtsen’s final 100 metres was arguably the defining moment of the race. The Olympic champion produced a remarkable 12.60-second closing 100m, powering away from the field to secure the $150,000 winner’s prize and underline just how far his fitness has progressed since returning from Achilles surgery.
The victory was particularly significant after what has been an extremely difficult period for the 25-year-old. Earlier in the season, Ingebrigtsen faced serious uncertainty over whether he would even be able to compete at the highest level again. His return has gradually gathered momentum, and his performance in Budapest offered perhaps the clearest indication yet that the Norwegian is rediscovering his formidable racing ability.
But rather than risk pushing his recovering body further, Ingebrigtsen has now opted to step away from the 1500m.
The decision means the highly anticipated showdown with British rival Josh Kerr will not take place in Budapest after all. The two stars had been expected to renew one of the biggest rivalries in modern middle-distance running in the 1500m final.
Instead, Ingebrigtsen is looking beyond the immediate opportunity and towards the bigger picture.
“I’m thinking about 2027… Fitness cannot be faked,” the Norwegian said, signalling that protecting his long-term condition has become more important than chasing another major victory only days after his return to peak-level competition.
The decision comes just one week after an emotionally charged Diamond League Final in Brussels, where Ingebrigtsen finished fourth in the 1500m behind Australia’s Cameron Myers, Kenya’s Phanuel Kipkosgei Koech and American Ethan Strand.
After that race, Ingebrigtsen delivered a fiery assessment of his rivals and questioned the tactics surrounding the pacemaking, particularly involving Hocker. He later acknowledged that there had been “a little too much adrenaline and emotion” when microphones were placed in front of him immediately after the race.
Yet his latest decision shows that beneath the emotion and competitive intensity lies a longer-term strategy.
Ingebrigtsen has already demonstrated that he can compete at an elite level again. His 12:59.24 in Budapest was not simply a victory — it was a statement that the Norwegian remains capable of producing a world-class finish even after months of injury rehabilitation.
Now, however, he is choosing not to gamble with that progress.
For a runner who has spent much of the year fighting his way back from injury, another 1500m race could have offered enormous rewards but also carried unnecessary risk. By withdrawing, Ingebrigtsen is effectively prioritising longevity over one more opportunity for immediate glory.
His message is clear: the comeback is underway, but it will not be rushed.
The 5,000m victory has given Ingebrigtsen confidence, momentum and perhaps, most importantly, proof that his body can once again handle elite competition.
Now comes the harder part — knowing when to stop.
With 2027 already firmly in his sights, the Norwegian has chosen recovery over risk. And after everything he has endured, that could ultimately prove to be one of the most important decisions of his comeback.
Jakob Ingebrigtsen is not walking away from the sport. He is protecting his future in it.
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