The Lane 9 Podcast

Heather Caplan

Talking about performance nutrition, periods, and mental health for athletes in women's sports. Lane 9 aims to raise awareness of REDs and eating disorders, and hosts an international collective of Women's Sport & Health clinicians to help athletes build their care team.

  1. Jun 18

    What Does a REDs Diagnosis Actually Look Like? Dr. Rosa Pasculli Explains

    What does it actually take to diagnose REDs, and what happens after? If you've ever wondered what's going on behind the scenes when a sports medicine physician suspects REDs, this episode is your inside look. Host Heather Caplan, RDN, sits down with Dr. Rosa Pasculli, a non-operative sports medicine physician based in Atlanta, to walk through the full medical picture: how REDs gets diagnosed, what labs actually matter and why, and what treatment looks like in practice. It's a masterclass in multidisciplinary care, and a reminder of just how important it is to have a physician on your team who knows how to ask the right questions. Dr. Pasculli is a former competitive dancer turned sports medicine physician with a particular clinical interest in bone stress injuries and REDs. She is the head team physician for Emory University, overseeing 450+ varsity athletes, and serves as a consulting physician for the Atlanta Ballet, the Georgia Ballet, and the Atlanta Falcons Cheerleaders. She also sees runners, weekend warriors, and masters athletes, including, as she mentions in this episode, an 80-year-old woman doing an Ironman. 07:59- How Rosa got into sports medicine and the female athlete space 12:44- What she's seeing in the clinic: awareness of REDs and where education still falls short 14:47- REDs as a diagnosis of exclusion: what that means and why it takes a team 15:51- Lab work 101: CBC, CMP, ferritin, thyroid, and what Rosa is actually looking for 21:48- DEXA scans: who needs one and when, including the Female Athlete Triad Coalition's updated guidelines 24:22- Medical management of REDs: risk stratification, the REDs CAT2 tool, and keeping athletes in sport where possible 25:26- When it becomes dangerous: bradycardia, orthostatic changes, and the malnourished heart 28:34- Setting expectations with patients and parents around timeline and testing frequency 30:31- The Emory Women's Sports Medicine program and the cross-institutional community behind it Resources mentioned: IOC RED-S CAT2 Tool (2023)- free Excel-based risk stratification tool for clinicians Female Athlete Triad Coalition- updated DEXA scan guidelines for adolescent and adult athletes Emory Women's Sport and Wellness Conference- Saturday, August 15th, in-person and virtual; registration opening soon Connect with Dr. Pasculli through the Lane 9 Directory at lane9project.org/directory Connect + get support: Are you an athlete? Find a sports dietitian, DPT, therapist, or coach who understands athletes at lane9project.org/directory. Are you a clinician or coach? If this conversation resonated with you professionally, Lane 9 Membership was built for you. Join a community of dietitians, DPTs, psychologists, sports medicine providers, and coaches who are doing this work, and get listed in the Lane 9 Directory so athletes can find you. Future clinicians and coaches are welcome too. Follow us on Instagram and get in touch anytime!

    34 min
  2. Jun 11

    Miran McCash on Women in Run Coaching, and the Conversations Girls Aren't Having With Their Male Coaches

    What does it actually take to build a girls' running program from three athletes to a full roster, and what does it cost the coach who gets it there? That's at the heart of this conversation with Miran McCash: high school cross country and track head coach at Highline High School, and owner of ANA Run Coaching, an all-women adult running coaching business based in Seattle. Host Heather Caplan, RDN, and Miran talk about what it's really like to be a woman in a head coaching role, how she's creating space for girls to talk about their bodies and their periods, and why representation on the coaching staff is the reason girls stay in sport. 08:54- Teaching girls' weight training and building confidence in the weight room 11:11- Growing up with all-male coaches and how it shaped her 15:31- Growing the girls' cross-country team from 3 athletes to a full roster 16:29- Incentives, belonging, and why cross-country culture matters 23:28- How Miran talks to her athletes about periods, REDs, and changing the language around bodies 29:18- Balancing the financial and emotional load of coaching at a Title I school 36:59- Why women aren't signing up for coaching positions 40:16- Over-scheduling, under-recovering: the injury surge Miran is watching in real time 46:09- Going part-time teaching to grow ANA Coaching, and South End Running Exchange Resources mentioned: Bras for Girls: the organization Miran brought to her school to provide sports bras to female athletes across all spring sports Better, Faster, Farther by Maggie Mertens- includes the story of Bobbi Gibbs running the Boston Marathon before Katherine Switzer, in a bathing suit (no sports bras yet) Lane 9 Episode with Mary Cain mentioned Follow Miran on Instagram Follow Miran's business, ANA Coaching, on Instagram Follow the South End Running Exchange on Instagram Connect + get support: Are you an athlete? Find a sports dietitian, DPT, therapist, or coach who understands athletes at lane9project.org/directory. Are you a clinician or coach? If this conversation resonated with you professionally, Lane 9 Membership was built for you. Join a community of dietitians, DPTs, psychologists, sports medicine providers, and coaches who are doing this work, and get listed in the Lane 9 Directory so athletes can find you. Future clinicians and coaches are welcome too. Follow us on Instagram and get in touch anytime!

    49 min
  3. Jun 4

    Mary Cain on REDs, Period Health, and Why Sports Should Be Healthcare - This Is Not About Running

    What if we stopped treating sport like entertainment and started treating it like healthcare? That's the question at the center of this conversation with Mary Cain: professional middle-distance runner, Stanford medical student, and New York Times Bestselling author of the new memoir This Is Not About Running. Host Heather Caplan, RDN, and Mary Cain talk about what it would actually take to change sports culture, including how we coach youth athletes, how providers diagnose and treat REDs, and what it means to find yourself outside of sport.  Chapters 09:10- What hope actually looks like in women's sports right now 11:32- Reframing athletics through a healthcare lens 14:01- What is an athlete? Rethinking youth sport, PE, and why kids drop out 18:49- Detaching from outcomes- what coaches, parents, and teammates can actually do to support athletes 23:28- Periods, pressure, and getting her first period in 10th grade  29:59- Flexibility and fueling across seasons  31:37- REDs vs. the Female Athlete Triad 32:34- Talking to athletes with body dysmorphia: a more trauma-informed approach  38:36- How Mary got diagnosed with REDs and navigated the healthcare system 44:47- When a non-sport therapist was exactly the right call 47:44- Writing This Is Not About Running while in med school Resources mentioned: This Is Not About Running by Mary Cain is available now The Rich Roll Podcast Another Mother Runner Podcast Follow Mary on Instagram: @runmarycain Connect + get support: Are you an athlete? Find a sports dietitian, DPT, therapist, or coach who understands athletes at lane9project.org/directory. Are you a clinician or coach? If this conversation resonated with you professionally, Lane 9 Membership was built for you. Join a community of dietitians, DPTs, psychologists, sports medicine providers, and coaches who are doing this work, and get listed in the Lane 9 Directory so athletes can find you. Future clinicians and coaches are welcome too. Follow us on Instagram and get in touch anytime!

    1 hr
4.8
out of 5
258 Ratings

About

Talking about performance nutrition, periods, and mental health for athletes in women's sports. Lane 9 aims to raise awareness of REDs and eating disorders, and hosts an international collective of Women's Sport & Health clinicians to help athletes build their care team.

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