Figure 5. Finisher medals for marathons and half marathons .

A wall hanging shows the numerous medals received for completion of either marathons or half marathons by the patient. His first race was the Houston-Tenneco marathon in Houston, Texas, in January 1990, which he completed in three hours and 46 min. After his back surgery in 2017, he did not regain the motor strength in his lower extremities and still experiences paresthesia of his distal feet. However, he continues to participate in a few half marathons each year; indeed, the most recent race was his sixth consecutive Beach and Bay half marathon in San Diego, California, in April 2022, which he completed in three hours and 35 minutes.