It's difficult keeping up with Ruth Loyer.
She's still running, like she did so well at Red Lion High when she graduated in 2001.
But there's so much more.
She plays the viola. She's a substitute church organist. She runs marathons. She works as a radiation oncology nurse.
She's also planning to become a deacon in the United Methodist Church, hoping to combine her nursing and ministry one day.
Soon, she will start studying to become a family nurse practitioner, too.
And she even finds time to sing in the Duke University chapel choir.
She's only 25.
"She seems to have an unlimited amount of energy. Downtime is just something foreign to her," said her father Jim Loyer. "She was always going from one thing to the next. She's thrived (on that)."
At Red Lion, she was a star basketball player, one of the all-around greats in school history. But she might have been even better in track and field.
She specialized in distance, winning league and district titles in the 800 and 1600 meters and was a leader on the cross country team. She earned a track and field scholarship to William and Mary College.
"She just never, ever missed a workout. Ever," said Marv Berkowitz, her track coach in high school. "She always had a purpose and a goal."
Injuries slowed her college career, but she's running now even more, even longer. Last year she chewed up 40 to 60 miles a week while training for the Boston Marathon, her third marathon.
"Running is a hobby for me now and I love saying that because in college it was a job. Whenever money is involved it's more of a stress and it takes away from the enjoyment because it's an obligation."
She's still finding the time and motivation to run 20 to 30 miles a week, even after being on her feet for long shifts at the hospital. Even with practicing her viola to play for the Durham Symphony Orchestra.
She works, then runs, then plays music.
At work, "I'm dealing with life and death . . . (and) it's emotionally draining. Sometimes I leave work and I just go home and cry. I feel so bad. I feel like I'm taking work back with me, taking stress and illness off patients back with me. I'm working with how to deal with that in a more productive way."
The diversity, though, is a release while driving her on.
"It keeps me fresh, keeps me happy and keeps me effective in the work that I'm doing," she said.
She worked for two years as an oncology nurse on the bone marrow transplant unit at Johns Hopkins Hospital before moving to North Carolina in August -- still working in oncology at the Duke University Medical Center.
Meanwhile, she's also taking divinity classes at Duke, hoping that her future centers around pastoral care and healing, such as visiting the sick and performing funerals.
Through it all, her support comes from her father, a pharmacist, and her mother, a string instrument teacher in Red Lion schools.
And from her brother.
Kenny Loyer also was a basketball star at Red Lion (Class of 1998), scoring 1,478 career points -- second-most by a male in school history.
He was a biblical studies major at Messiah College before earning his master's of divinity degree from Duke. He's now studying for his doctorate in theology at Southern Methodist University.
There's always been a connection between brother and sister.
Go back to when Kenny broke the elementary school cross country record, only to have Ruth came along a few years later and break his.
Now, both are candidates for ordination in the United Methodist Church.
But even big brother knows who is the most driven, the most well-rounded -- the toughest Loyer to keep up with.