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Concussion Fundamentals with Dr. Eliza Sampey
Steve House talks with Dr. Eliza Sampey, a Doctor of Physical Therapy specializing in brain injury rehab, former professional endurance athlete, and concussion survivor herself about why mountain and endurance athletes so often underestimate head injuries, and what science-backed recovery actually looks like.Dr. Sampey explains that concussions are especially easy to dismiss in the backcountry because the injury is invisible and athletes are conditioned to push through pain. She walks through the neurometabolic cascade that occurs after a head or body impact — how stretched axons flood the brain with misplaced neurochemicals, disrupt blood flow, and trigger an "energy crisis" that takes three to six weeks to resolve, regardless of how mild or severe the initial injury seemed. She stresses why getting hit again during that window is dangerous, even life-threatening in rare cases of second impact syndrome, and can turn a six-week recovery into six to nine months.The conversation covers red-flag symptoms that warrant emergency evacuation, why "rest in a dark room" is outdated and harmful advice, the real role of relative rest and sleep in the first 48 hours, and why low-intensity, sub-symptom-threshold exercise (not standard heart-rate training zones) is the cornerstone of active rehab. Dr. Sampey introduces the seven systems affected by concussion (autonomic, metabolic, visual, vestibular, cervical, cognitive, and affective) and explains why treating them in isolation fails — recovery requires integrating them back together. She also discusses the Buffalo Concussion Bike/Treadmill Test for gauging exercise tolerance, common mistakes endurance athletes make in returning to training too fast, how old, "resolved" concussions can resurface under new training stress, and how to vet a qualified concussion provider. The episode closes with practical guidance on symptom tracking, supporting a partner or teammate through recovery, and her core message: concussion is a treatable injury — most long-term problems come from how it's managed, not how bad it was to begin with.
Who Says Yes?
Steve House sits down with elite mountain athlete Kílian Jornet, calling in from his home in Norway, for a wide-ranging conversation about what draws people to high-risk mountain pursuits. They explore mountains not as a destination but as a sense of home and identity, the fine line between earned confidence and dangerous complacency, and how fear and euphoria can each distort decision-making in exposed terrain. Jornet reflects on his upbringing; being "born into the mountains," his mother's nighttime forest walks, a family trek across the Pyrenees; and how he's now passing that connection to nature on to his own children with his wife, Emily. The two discuss the blurred lines between mountaineering, alpinism, and running as labels; the philosophy behind going fast and light versus slow and immersive; and the particular psychology of "accepting" mortal risk versus fighting to survive an emergency. The conversation turns deeply personal as Kílian opens up about the loss of his friend and climbing partner Stefane Brosse and how grief and loss reshapes friendships, risk tolerance, and one's relationship with death across cultures. They close on parenthood, legacy, and the freeing realization that, ultimately, no one will be remembered. What matters is being present, honest, and good to the people around you now.
Endurance and Enlightenment on Everest
Steve House sits down with client René Morkos to unpack his Everest summit and the profound, almost spiritual experience he had on the summit ridge. René describes the physical transformation five and a half years of structured training brought him — from a non-athlete to one of the fittest climbers on the mountain — and how that fitness "buffer" let him fully experience rather than merely survive the climb. The conversation moves through his systems-thinking background (a Stanford PhD in AI applied to construction), his formative years surviving war in Beirut and rebuilding infrastructure in Afghanistan, his personal framework for risk-taking, and the mysterious, overwhelming sensation he felt above 8,600 meters that he still can't fully explain. They close by comparing mountaineering to other transcendent experiences (Burning Man, live music) and reflecting on why the training itself — not just the summit — is the lasting reward.
The Evolution of Training Technology with Hunter Allen
Steve House sits down with Hunter Allen — cycling coach, co-creator of TrainingPeaks, and co-author of Training and Racing with a Power Meter — for a wide-ranging conversation on training technology through the lens of the hype-adoption-disillusionment cycle. They trace the power meter's unusual "trickle-up" adoption (from data-driven amateurs to pros around 2008-2009) before working through today's landscape: HRV as a life-stress signal, the limits of wrist-based sleep tracking, the untapped promise of respiration and minute ventilation monitoring for mountain athletes, pulse oximetry's highly individual response to altitude exposure, heat/core-temperature training for hot events, skepticism around substrate utilization metrics, and the current bottlenecks holding back continuous lactate monitoring. The back half is a deep dive into continuous glucose monitors (CGMs), where Allen unpacks why endurance athletes run naturally higher glucose than the general population, why CGMs are both a performance and behavior-change tool, practical strategies like "food stacking" at meals, and why he recommends six months of wear time before drawing conclusions — closing with his take on where CGM technology is headed over the next decade.
Voice of the Mountains: Legacy is Not the Measure with Max King
Max King is the only American ever to win both the World Mountain Running Championship and the World 100K Championship. He joins Steve House for a wide-ranging conversation about identity, competition, and longevity in endurance sport. Max traces his path from a chemical engineering degree and Cornell track team to Olympic Trials appearances in both the steeplechase and marathon, his accidental first ultra the week after a disappointing Trials prelim, and his eventual move into trail and mountain ultrarunning, including a recent attempt at the Barkley Marathons. The two dig into the tension between elite competitiveness and the collaborative, adventure-driven ethos of trail culture, how aging athletes renegotiate identity as performance declines, and why Max is drawn to races defined by history and mythology (Barkley, Dipsea, Mount Marathon) rather than media hype. The conversation closes on Max's diversified career (coaching, race directing, youth camps, a new sponsorship with the Chinese brand Kailas) and his hope to be remembered for what he gave back to the sport, especially through youth development.
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IBUKI STATION
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