Unfortunate Health Update

It was only two weeks ago I wrote my last blog post about finding hope in affliction through my faith, and that I was on the mend from a lumbar disc herniation.

A lot can change in two weeks.

My last run was Thursday, April 4 and will likely be my last run of 2024. 

I have somehow reinjured my spine. My L4/L5 disc herniation reared its ugly head again on Friday morning and the second time around has been even more painful than the original injury last fall. I spent five days in excruciating pain as the disc compressed my nerve down my entire left leg. I was at a pain level of 8-9 with very little relief. Drugged myself up as much as I could, but until the inflammation goes down, real relief is futile. Every morning, after a fitful night of sleep, I would hope that I would have a little less pain and a little more mobility…to no avail. 

Five days of nerve pain absolutely drives you crazy. I was out of my mind yesterday. My orthopedist appointment wasn’t until today, Wednesday, and while I was able to get a round of prednisone and had a muscle relaxer on hand, no other home remedies were working. I decided yesterday afternoon to head to the ER. Greg also called my orthopedist to see if there was anything else I could do to ease the pain. 

Thankfully the ER did help me out with a morphine shot. It alleviated some of the pain and I was as high as a kite almost immediately, causing me to not even give a shit about the residual pain. Sweet relief from my misery, even if it would only last a few hours. At this same time, Greg and my doctor were getting me set up for an epidural injection first thing this morning - that, by the way, feels really funky. 

I had my doctor appointment this afternoon. Good news and bad news. Back to physical therapy, continuing those exercises to build up my strength and mobility, and a cessation of running and any impact activities for the foreseeable future. It wasn’t a surprise to me. I had been doing so well, so if I have to let one activity go to get my back fully healed, I’m willing to do so. 

If I think too much about it, however, I start feeling beaten down again. It’s been a brutal 3.5 years. To not be able to run again on Snoqualmie Trail, to not run a race in Huntington Beach…and all the other miles that make my heart happy….well, it absolutely crushes me. I find so much joy in that journey, and now I’ll have to shift for a long period of time to other activities that will better serve my broken body.

One of the things that hurts the most, however, is upsetting Greg. He hates to see me like this and I know my tears were tearing him up inside. I spent his 50th birthday in excruciating pain and couldn’t celebrate him like I wanted to and how he deserved. He’s such a rock to me, however, and puts himself aside to fully focus on me. I want to be the wife he deserves, and that serves as motivation to do what I need to do, and not make stupid decisions that further hinder my healing and progress. I still envision us running many more miles together in the future.

The pain of running a marathon (if I ever get to do that again) will be a piece of cake to endure after all this. 

Finding Hope

I was in the best shape of my life in 2020, in spite of the turmoil of the world. I controlled what I could control, which was my health and fitness and my commitments to my family. Despite the uncertainty in the world, I remained certain of two things - I loved my family, and I was in charge of my health. 

But a stupid momentary step on a trail 4 miles into a 10-mile training run derailed everything I had gained that year. I went from badass shape 8 weeks from a marathon, where if the weather was right I would be able to run a 3:45 and qualify for Boston again....to broken and defeated in a blink. I couldn't take care of myself anymore.

What followed was a grueling year where not only did I have to start over physically, but I lost myself emotionally. I was not the same person before that misstep in October of 2020. I was broken in every sense of the word. What continued to follow was more emotional turmoil than I can even now fathom. 

I put on a brave face....but I wasn't who God created me to be. I was lost.

Over the course of the last two years, I have gone from the bottom to a renewal. I'm still a work in progress, and I always will be in this sinful world, but I am once again a child of God, fully in awe of Him. I discovered something really powerful in my despair - hope is found in my faith. Hope is found in my surrender. Hope is found in giving it up to God's will. Hope will never be found in me alone. As soon as I was able to truly understand that I was not in control, my perspective shifted. 

It didn't take away the pain I was feeling, but it did give me a way through that pain. 

I'm currently in recovery from yet another physical setback, this time a ruptured lumbar disc. While I have made vast improvements and am thankful I can run again, I am still acutely aware that I am not healed. When I first got the diagnosis, I was obviously devastated. For the third time in three years, I was sidelined from doing what I love. I was forced into uncertainty. On top of that, I was about to turn 50. It's not a big deal to be 50, but for one of the first times ever, I was being forced to confront the fact that I just wasn't young anymore. I had to pay attention to my changing body and understand that while I'm on the fitter side of the majority of 50 year olds, I'm not 30....or even 40 anymore. This is the second half of my life....for real. 

I really thought this setback was going to absolutely crush me. I was scared, thinking of that time in 2021 when I just descended into a deep sadness. I didn't want that to happen again.

So I turned to God, and I realized that this response to pain and uncertainty is now automatic to me. For a long time I subconsciously fought against "help from God," figuring I could deal with it on my own. Not anymore. I KNOW I am not enough, I KNOW I can't weather all of life's storms under only my own strength. I NEED God to pull me through. As soon as I realized the depth of my fear, I prayed. 

What happened was a sense of peace and of hope, and a motivation to do what I needed to do physically and mentally to keep myself afloat. On my harder days, I prayed more. I wrote in my journal. I talked to my friends. I spent time with Greg. I went on walks and continued to pray. I did what was in my control. 

I never want to be that sad and lost again. You’ve heard the saying that God never gives us more than we can handle. That’s actually not true. We are absolutely bound to encounter things that are too much for us. But God promised us a way through it, and that requires surrender to Him. On the other side of that hardship is a strength and purpose that doesn’t come from this earth alone. 

My body is trying to kill me

Welp. 

So where were we? I was getting help for a “pulled muscle” and hoping to get back to running so I could race a half marathon to celebrate my newfound AARP status. 

That didn’t go as planned.

My pulled muscle actually ended up being a herniated disc in my lumbar spine, plus three more bulging discs. The pain I was having became excruciating. It actually scared the shit out of me.

I did not see this coming at all.

While I’m so thankful I found the right doctors and got the scans I needed for an accurate diagnosis and I have a great physical therapist helping me get back to being a marathoner…..holy Jesus, this is hard as hell. I have had five PT appointments so far, and today we actually progressed to more impact and added weight to the exercises. Positive forward momentum is what I am hoping for!

So the herniated disc is the worst of it all, but it’s not the only thing. Do you have popcorn handy? I feel like we need popcorn.

I have started referring to myself as the most messed up healthy person out there, because while I've spent nearly two decades focused on being healthy, functional, strong, and "young for my age" (for crap's sake, I was a personal trainer!), I have entirely too many frustrating physical issues. For the third time in 3 years, I have been sidelined from running for an issue not even related to running. A herniated disc might not be as big of an issue as that damn busted rotator cuff from 2020, but it's a pretty big deal regardless, enough so that I have to take recovery really seriously and be dedicated to daily physical therapy for the foreseeable future. Coming back to running without nerve pain is going to be a huge endeavor. I'm tired of huge endeavors, you know?

Anyway.....a recap of my history unrelated to rotator cuffs and herniated discs to get up to speed on everything I've been dealing with the last few months....

In 2009, I was diagnosed with eosinophilic esophagitis, which is a chronic immune system disease where white blood cells called eosinophils build up in the esophagus, creating strictures that can cause food to get stuck. It's a potentially deadly disease if left untreated, as you can choke to death due to the strictures. It can be triggered by allergens and acid reflux, of which I have both. I have actually had this disease my entire life, but didn't have a name for it. All I knew was that I could never swallow any pills other than tiny ones, and food often got stuck in my throat, causing spasms and an inability to swallow for hours at a time. I finally went to an ENT, who then referred me to a gastroenterologist. I had an upper endoscopy done, where my esophagus was actually stretched (and then repeated two months later) and I had an official diagnosis.

So all the people who made fun of me for never being able to swallow pills....screw you. I physically couldn't and not one doctor thought to look further into that. They all thought it was psychological. 

For the past 14 years, I've been on and off acid reducers, and have had several upper endoscopies done with my esophagus stretched each time. It was looking like I would need to repeat this process every two to three years for the rest of my life. I had come to terms that this was just the hand I was dealt, and I was thankful to always have great health insurance and the financial ability to continue to pay for the procedures. 

Late last year, however, I got hopeful news. My allergist mentioned a drug, Dupixent, that had just gotten approval to treat eosinophilic esophagitis and would be the very first drug that would treat the actual disease, and not just the symptoms. It's a drug that is typically used for eczema and asthma (basically, shit that happens when your body attacks itself), but had shown promising results of actually reducing the number of eosinophils in the esophagus. I was thrilled at the possibility of actually getting control of my disease vs. just managing it. I started the weekly injections in March (I inject myself...it's not so bad). 

My insurance was requiring me to get another upper endoscopy done (my last one was in November 2022), in order to see if the medication was working. It's an extremely expensive drug and I needed positive results. Right after being informed of needing to get this scheduled by January, I had an episode that landed me in the ER in September.

While on a walk in Seattle, I started having intense chest pains, had trouble taking deep breaths, and my heartrate skyrocketed. I made it back to the apartment, thankfully, but my distress was increasing rapidly, so much so that I had to call 911. I had no idea where an ER was and just needed help. I didn't know if it was my heart or something else, but the pain was rapidly increasing. I got to head to the ER in an ambulance....oh how fun (and embarrassing).

Virginia Mason Hospital in downtown Seattle took great care of me. I had EKGs, a cat scan, tons of blood work done, and I got to rest a bit. The pain decreased but never dissipated completely. I had some scar tissue that showed up in my lungs (probably from my recent bout of Covid) and they could tell I had eosinophilic esophagitis, but nothing was totally alarming. It basically all pointed to a major acid reflux attack. I needed to chill out and go see my gastroenterologist for an upper endoscopy, which got scheduled for December 15. In the meantime, I needed to again be on an acid reducer in the hopes my stomach issues resolved themselves. I had a several more weeks of constant stomach pain but eventually it did substantially dissipate. 

Unfortunately I had one more intense physical ailment that scared the crap out of me before I had the opportunity to have my procedure. On December 4, while in Seattle (why does this city try to kill me?), I had a very sudden, very unexpected allergic reaction. About two hours after I had eaten, and right after an easy elliptical workout (during which I felt like absolute crap), I felt my bottom lip start to tingle. Within minutes, I could tell it was starting to swell. It very quickly reached an alarming level and I did a video visit with Teledoc. The doctor was concerned enough to tell me to head to the ER as it could move to my throat and cause anaphylaxis. 

Ever taken an Uber to the ER? I have!!

Greg met me at the ER (it's only a half mile from his office), and they saw me very quickly. At that point it wasn't getting any worse (the two Benadryl I had taken as soon as it started finally kicked in) but I needed to be monitored for about two hours to be sure it didn't spread. They got me set up by the nurse's station to hang out, I sent Greg back to work, and I got settled in to hope the swelling dissipated and I could just go home. People pay good money to get lip filler to look as ridiculous as me and I really don't understand that at all. 

While I was there, I got to witness a drug overdose, someone convulsing, someone vomiting in front of me, a screamer, a drunk lady in very bad shape (doctor quote: "were you drinking to celebrate or because you're really sad right now?"), and a dude on drugs who threw his shoes at the nurses next to me. Downtown Seattle on a Monday afternoon is pretty exciting, people.

My lip finally reduced in size within two hours, and they gave me even more meds, so I was ready to head back home. I even made it to Greg's work event on our rooftop that night for a little while, although I was drowsy from the drugs and didn't stay long. 

Now, mind you, this is all happening while I'm trying to do physical therapy for my back. Frankly, I'm getting tired of all this shit. I want a normal week in the life of a healthy Steph. Too much to ask?

So now we are at December 15, I have eliminated some things from my diet so I don't have another allergic reaction, and I am ready for my procedure to check on my esophagus and my stomach. It all went very smoothly, I even let Greg videotape me coming out of anesthesia because I was damn hilarious (Me: "can they give me more drugs?", Greg: "maybe we can get some to go!", me: "that's illegal. It killed Michael Jackson"....intriguing stuff right there). And now for the first bit of positive news in a really long time....

The drugs are working! Dupixent is actually REDUCING the eosinophils in my throat, it looks great, there's no sign of the gastritis that likely prompted September's ER visit, and I can continue taking the medication and don't need to see my gastroenterologist until June. It was honestly the absolute best case scenario.

After several months of frustrating ailments that seemed to keep happening one after another, this was welcome news! 

I know that some of my gastrointestinal struggles likely stem from chronic emotional stress. It's been a challenging couple of years and our routine as a family has taken a bit of a beating. As much as I try to manage my stress, I've had several bouts of being "too" stressed, it's affected my body and my frustration has increased. I need to continue to find ways to practice gratitude, to pray, to look for the positive, and to center myself. There are so many things that have been out of my control, but I am the only one in charge of my reactions to what life throws at me, and I need to better own that and to look for ways to steer my life in a better direction when I can. 

There are so many things to look forward to in 2024....starting with a 50th birthday trip to Napa with Greg, my in-laws, and some friends next month. Knowing that I'm physically healthier on some fronts, and working towards being more physically functional (and a marathoner again!) definitely reduces my anxiety. I don't want to get stuck in the funk...I want to LIVE. 

So many things

 June has been.....INTERESTING.

I started off the month feeling like utter crap. It was disconcerting....high heartrate, fatigue that was unrelenting, shortness of breath, just a lot of very concerning things. My body was not cooperating on runs, nor during everyday things. My hip was really starting to hurt (I suspected bursitis), so I knew that wasn't helping matters at all. 

On June 6, I threw in the towel on my long run and called Greg to come pick me up 2 miles in. I was running 11 minute pace (my very easy pace), and my heartrate climbed quickly into Zone 3 and was staying there. I couldn't breathe correctly and just felt like I was running through cement. I was DONE with feeling like this.

I got a doctor appointment the next day and he listened to all my concerns. Bloodwork to check pretty much everything was ordered and my blood was drawn (4 vials!) right there at the office. I made another doctor appointment with my orthopedist's office the next day to have my hip checked out.

The ortho agreed with me regarding my hip - it really looked like bursitis, which is an annoying condition but totally something that can be overcome. BACK TO PHYSICAL THERAPY! My poor, poor physical therapist. I also got a cortisone shot, my first one ever. No running for the rest of the week, which I was definitely okay with since I felt like crap on every run anyway.

I got my bloodwork results back later that day. Everything fell within normal ranges. HOWEVER, my ferritin was bordering on too low, particularly for an endurance athlete, and my Vitamin D was back down to the low level of normal. Thankfully my thyroid was functioning okay (I only have half a thyroid) and my blood panel didn't indicate anything alarming. So I doubled my regular iron and Vitamin D supplements, and would continue to take Vitamin B12, fish oil, and magnesium as usual (yes, it's a lot but I'm a middle aged woman and I'll do whatever it takes to feel good!).

The doctor and I had discussed my discontinuation of mood regulators, which I had been taking for years. I tapered off them in February and what I was experiencing could be a delayed reaction to the withdrawal of the medication. The biggest issue, however, was the amount of stress in my life. I am massively stressed almost daily due to some situations that are really beyond my control. I have been trying to use other methods in helping me deal with the stress, but it's entirely possible that it's just not enough, and the mood regulator was doing more good than I thought, and even if I wasn't feeling particularly "depressed" (I'm not), the medication was helping me control my stress levels. 

Well, crap. I really didn't want to go back on the medication. I take zero prescription meds and I like it that way.

But I needed to help resolve this problem. My body was physically deteriorating due to stress, and with the addition of higher levels of supplements and a reintroduction of a mood regulator, I could still turn it around. I am a healthy person and should be feeling better! So I restarted the medication at half the dose I was taking previously. It's only been a few days and I'll be able to judge the effectiveness in a few weeks.

I don't like being dependent on something, but like a friend of mine said recently, a diabetic wouldn't think to stop taking insulin, so someone with a mood regulation problem should also do whatever medically necessary to keep themselves healthy. She's totally right. And I shouldn't feel bad for needing this.

Around the same time as this, Greg was a total SWEETHEART and surprised me with a brand new Garmin Fenix 6S sapphire watch. He was proud of me for how far I've come since my October accident and how excited I am to begin marathon training next month, and wanted to give me everything he could to aid in my training. My previous watch is a Fenix 5S, so definitely a pretty sweet watch but the features on the 6S are just the coolest! Heat acclimation, load focus, and an improved race predictor. I just love it!

I may have also purchased the Saucony Endorphin Pro 2 shoes, even though I never even raced in my original pair of Endorphin Pros. But how can I resist a checkered pattern?

Now....about my hip. I have a feeling that in the months during my shoulder rehab when I wasn't moving my arm much but was still going on very long walks, I developed a worse than usual imbalance (I have scoliosis so I'm always a bit imbalanced). Because my shoulder was still healing and I was very limited in my movements and exercises, strength training was minimal. The imbalance turned into inflammation and bursitis on that side. So back to physical therapy I went last week, to the same guy who helped me through my shoulder rehab. But this time, the work is much more exciting for him since it involves strengthening and not just ROM exercises. He agrees with the orthopedist that it's likely bursitis, and he pinpointed my core/glute weaknesses that are contributing to the problem. He has me doing daily exercises and I see him 1-2 times per week. Unfortunately the cortisone shot only took away some of the discomfort. I probably needed a second shot in a different location, but I will say that the strengthening is already making a bit of a difference. 

In the midst of all this, I'm obviously running far less in June than I did in the previous two months. I'm keeping my runs shorter, and trying to focus on the little things like foot turnover and form and not being so damn afraid to run fast (tripping on a run and destroying your shoulder will put the fear in you like nothing else). Short intervals, shorter base runs, no long runs, 4-5 days per week of running. It's not a lot, but it's consistent and it's helping me heal and while it will always suck, I feel like my body is acclimating to the heat and humidity (my watch agrees with me!). Also, I actually sort of love the feature on the Fenix 6S that gives you suggested workouts, so for the past 2+ weeks I've just been doing whatever it tells me to. I don't always hit the paces it says I should but I don't think it adjusts the suggested workout paces for weather, so I just roll with it. 

Technically I start marathon training in two weeks and I've rewritten the first few weeks of the plan to build my long run. Originally I planned to have a base of 10-12 mile long runs, but that's out the window for now, so I'll be starting at six miles and building from there. Before long I'll be at 40+ mile weeks and I'm looking forward to finally feeling better.

Oh, and we are remodeling and it's taking longer than I had anticipated. Who knew that EVERYONE ELSE is also remodeling??

So, in summary....

STRESS SUCKS

PEOPLE WHO STRESS ME OUT SUCK

BEING NEEDY SUCKS

HOWEVER, GREAT MEN MAKE AWESOME HUSBANDS AND YOU CAN'T HAVE MINE

STOP

Lacking motivation? Exhausted? Hit a plateau? INJURED??

THEN STOP.

What you're doing isn't working.

Take a step back and look at the last few weeks, last few months, whatever it takes, to find the culprit of your struggles. Don't tell me it's the weather. It's not summer yet.

I know why I'm sometimes struggling. I'm on the right track and I hope to fix it permanently soon. Or until I do the next dumb thing. I'm a runner, after all. 

I saw a couple posts by runners who I follow on Instagram and it got me thinking about this issue I see time and time again from me and my running buddies/social media influences. The constant struggle to get through a training cycle unscathed....it's a big problem! Been there, done that. Tired of it. Tired of seeing it from others, too. (harsh, yes, I know)

This particular post pointed out the four things that you need to become faster, but it also totally applies to the concept of STAYING HEALTHY, both mentally and physically, in a training cycle. I've adapted it with a few extra points:

• 80% easy running (typically not what you *think* is slow, but SLOWER)
• 20% hard running (and NEVER on consecutive days)
• Consistency
• Specified training (every run has a purpose, every small step is part of the big picture)

The second post I saw is a quote from the Growth Equation:

Peak performance does not result from heroic efforts. It results from consistent small steps that compound over time.

So which part is your weakness? 

Do you know what 80% easy looks like? It means that out of 5-6 days per week of running, perhaps 50 miles per week, only 10 of those miles, or maybe 2 of the days, are at a hard effort. Hard effort is Zone 4+, maybe still high zone 3 if you're like me and the gears take awhile to heat up as I get more fit, or because your specified training calls for marathon pace and that might not necessarily get you to Zone 4 right away. Easy effort is Zone 1-2. Zone 3 can be the gray zone and when you have more Zone 3 than Zones 1-2, you're in trouble. 

That 20% of hard running should never be on consecutive days. 48 hours or more between hard efforts. Easy miles or rest in between. Your body CRAVES easy miles to build your aerobic engine and allow your body to recover instead of becoming overly fatigued, leading to bad form and injuries. 

I recently wrote up my marathon training plan for this next cycle and once I hit 6 days per week of running, this is how my week will shape up:

• Mon: Recovery Run
• Tues: Intervals (always with a warm up and cooldown)
• Wed: Easy Run (and long-ish)
• Thurs: Tempo Run (always with a warm up and cooldown)
• Fri: Off
• Sat: Easy Run
• Sun: Long Run (with race pace miles incorporated every 2-3 weeks)

Lots of easy paced stuff throughout the week.

Matt Fitzgerald explains all of this so thoroughly and much more eloquently than I ever could in his book, "80/20 Running." 

CONSISTENCY is a big BIG problem for a lot of people. You run a couple days one week, or take a whole week off, for whatever reason, then jump right back into 30 miles per week for a couple weeks, then take more time off. You can't stick to a training plan if your life depended on it. You can't commit to running on specific days, thinking it's okay to push things off a day or two, and then try to play catch up. JUST NO. Be committed and consistent, and if you have to take time off, ease into things. My first two weeks back after my 15 weeks off running after my surgery involved less than 10 miles of running. I still only run 25-30 miles per week and it's been nearly 4 months since my return to running. 

Specified training is just that. SPECIFIC runs on specific days, each with a specific purpose to build upon your overall fitness and lead you to the start line healthy and fit. Easy runs to build your base and aerobic endurance without overtaxing your body, recovery runs to recover from hard efforts while continue to add volume and endurance, long runs to increase endurance and your confidence in longer races, interval workouts to develop speed and efficiency, tempo runs to improve lactate threshold....you get the idea. Include a variety of running into your plan, in an appropriate schedule, and your fitness and speed and health will gradually improve....injury free. 

There are countless pace calculators out there to help you determine appropriate pace zones, calculators to help with heart rate zones, charts based on effort if heart rate zones aren't your thing. The point is, everyone should understand what their individual easy pace range is (hint, it's not marathon pace but rather MUCH slower). Everyone should understand their current fitness and adapt accordingly. Everyone has the ability to make up a schedule and stick to it. 

Coming off of an injury and getting right back into regular hard workouts and high volume, or running through an injury, is not smart nor is it heroic. I've only run 10 miles straight once since my return. I haven't run over 30 miles per week. I am chipping away at each baby step as it comes, knowing that each step creates big gains overall. Everyone should understand that big leaps can lead to big falls, that the turtle really can win the race.

Are you seeing gains? Or are you feeling overly fatigued and have nagging injuries? Then stop what you're doing, reassess where you can make positive changes, and set the wheels in motion.

 

Keep Showing Up

Remember when I said back when I first injured myself and wouldn't be running for months that I would never take running for granted again?

I'm trying so hard to remind myself to never take running for granted again. 

It's just that it's hard and while I usually don't shy away from hard things, I'm feeling pretty sad about the days when it felt somewhat easy.

It's not even so much about my pace (which of course is slower than it used to be at the same effort), but about how I FEEL. My breathing sucks, I feel awkward, there's no "flow." I know the pace changes will happen naturally, and that they probably won't happen until I incorporate speed work, but I just want to remember what it feels like to finish a run invigorated rather than irritated that it didn't feel smooth. I don't have the runner's high I used to have. 

I will admit that in the 50 degree temps and lower humidity of this morning, I felt better than I had in awhile. I wish that included sub-10 minutes with my heart rate in the 120s, but alas, we can't have everything. But overall, considering I ran longer than I have since injury (8 miles!), I felt pretty good when I was done. I ran anywhere from 10:15 to 11:08 miles, so in my old "easy/recovery pace" zone, and my heartrate average was 133, which is better than it's usually been. I do have a few wins to claim from this run, so I'm trying to look at the positive. 

I RAN 8 MILES!! Not long ago it seemed like that distance was a pipe dream and I did it without much difficulty today. 

I think it's time to incorporate speed work once a week. That won't involve anything crazy, just a minute or two at a time at probably a moderate pace rather than anything faster than my old marathon pace. Who knows? I have no idea how speeding up is going to feel, both physically and mentally. I still have a lot of demons to slay with regards to fear while running. Since my injury occurred because I tripped on a tiny thing while running, I'm still pretty terrified of doing that again and pretty much permanently losing shoulder function if I fall on it again. Unreasonable fear, probably, but fear nonetheless. How is this going to translate to trying to run faster? Is it going to hinder me? Remains to be seen. 

My virtual 5K is next weekend but since I have done zero faster running, I have no expectations. I'll just cruise at an effort that is not super easy but not hard and the it will be what it will be. It doesn't matter what that translates to....I have to complete it based on where my fitness is at right now and what is smart in my recovery. Most of all, I have to be thankful that I can run at all. 

I have to destroy these demons in my head that is making it hard for me to love running. I miss my love of running and need it to come back. I need patience and to have faith.

Luckily my first of two marathons I'm registered for is still 35 weeks away, and the second is 40 weeks away. I have a TON of time to build up my endurance and to be comfortable with the distance. Time isn't important. Merely making my endurance comeback is what is important. 

I read a book called "My Name is Hope" by John Mark Comer and in this book, he describes endurance as follows:

Is there a more perfect definition? We can apply this to many different areas of life. I have this message board hung on a wall in an area of the house I walk past several times a day as a reminder of how to approach challenges. Getting back into shape is definitely one of those challenges.

Did I mention that a month ago I stopped drinking until my May vacation? What was I thinking?? That might be harder than the running drama. 

Spring Cleaning

The dark winter is almost over!

This winter was stupid dark so I'm particularly looking forward to a change of seasons. 

When I last wrote a blog post, back in January, I was a few weeks into physical therapy, not running yet, but trying to find some semblance of a routine to keep my sanity. I let go of my 2020 goals, many of which were derailed by my accident in October. I set some new goals that were realistic for 2021.

I am now 20 weeks post-surgery on my complete rotator cuff tear. Hard to believe it's been 20 weeks already. I have completed 23 physical therapy sessions and am in the strength phase of therapy. I have 7 sessions left to go and will continue to go once a week and stretch out the strength phase as long as I can with my therapist. I am only about halfway in my recovery, realistically, and even after 40 weeks will not have my strength back to normal. I started running 6 weeks ago and am no where near back to normal on that front. That will definitely take a long time to get back. My body and mind are simply not the same as they were on October 18, when I was nearing the peak of marathon training.

The hardest part of this journey I never wanted to be on is getting my mind right. I am struggling with coming to terms with my body. It was so strong before this and now I feel like the 47 year old I am and I absolutely hate that feeling. I feel sorry for myself too often. I am angry too often. I am impatient and frustrated. I feel weak both physically and mentally.

I know a lot of people who have had rotator cuff repair, but I don't know anyone who had damage as extensive as mine. It's tough to hear about how they were in physical therapy a week after surgery, when I had to wait 6 weeks, that they were fine after a few months, when I will be looking at feeling "fine" after a year. My recovery is not comparable to others so I have a hard time finding encouragement to follow. It's pretty isolating sometimes. My therapist tells me I'm doing great, and there are some sessions where I'm pleasantly surprised at my progress, but then there are days when I'm frustrated that putting a can on the shoulder-height shelf is a struggle. 

I am trying to remember how hard things were when I first started doing active exercises and how little my arm would move on its own to how I can reach quite far with it now, that I really have made tremendous progress. But then I remember I used to be able to do 100 pushups and I fear I'll never be able to be that strong again. People tell me I'm crazy, that it takes time, but my mind is just too impatient. 

I miss being a marathon runner. Sure, I can go out and run continuously now, versus the run/walk intervals I had to start with in February. But I just now barely hit 6 miles and it was hard. My pace is incredibly slow and my heartrate and effort are nowhere near as low as they used to be at that pace. I have not tried any type of speed, but am thinking of incorporating short speed intervals in 2-3 weeks. I know in my head exactly what I need to do and what the progress should look like, but I hate how hard this is. I absolutely hate it. 

I know my attitude is being affected by other things around me, things that are out of my control, and I can't help but think it's penetrating my brain in negative ways. My youngest child continues to test me daily and I've exhausted my ability to help turn the tide. It's my kid's journey to complete. The tools are there, the support is there, but I can't make anyone do what they should do. Personal responsibility and hard work are they only thing that will help at this point. It's pretty maddening for a parent. And as helpful as some try to be, they do not understand the magnitude of this journey. It's the one that Greg and I are on, and only Greg and I. We are the only two that understand it. We've been living it for so many years now. It's not helping my own fortitude, that's for sure. The atmosphere in our country also continues to be painful to witness, when so much of it is avoidable and stupid. People unnecessarily turning against one another is completely wrong on so many levels, and it never needed to be this way. Add to that the countless lives that have been destroyed in this last year....and it's a recipe for depression, to put it bluntly. 

Of all the things to do to myself, it had to be this injury and surgery? Just stupid!!

BUT.....I am still in charge of my destiny. So while I will feel sorry for myself, I will be pissed at what my body feels like right now, I will be pissed off at others for their lack of grace and intelligence, I am still in charge of the trajectory of my life. 

So what does that look like?

I am RUNNING. It's not much, but I am running. I can now run 3 days in a row and will be doing that this week. I can continue to up my distance slowly. I focus on my effort, my form, my hydration, my breathing in the hopes of finally having a breakthrough. My breathing sucks, my effort is sometimes too high, and I feel like I'm in someone else's body, but as a former coach I know that consistency will produce results eventually. I KEEP SHOWING UP.

I signed up for another marathon yesterday on a total whim. I'm already registered for Mississippi Gulf Coast Marathon on December 12, and now I'm also registered for The Louisiana Marathon on January 16. It's called the Beach to Bayou Challenge and I did it in 2017/2018 (when I qualified for Boston). I have no plans to be that fast yet, but I think having this big of a challenge will keep me motivated to be consistent. Plus I love those races. Then in October of 2022 I want to run Chicago (I deferred 2020), and THAT is when I will try to be fast. 

Next month I'm running the virtual BAA 5K because who doesn't want a Boston shirt and medal? It will be a slow 5K compared to the past but fun nonetheless. I like Boston and I like medals!

I am also traveling for the first time in over a year! My husband and I are going to Florida for our anniversary in May for a long weekend on a beach. I need the time away, to reset and recharge and just enjoy time with only my husband. I had hoped to travel internationally this summer, but with restrictions still so changeable and the need for a negative Covid test to return to the United States has me very wary to leave the country just yet. I'm not afraid of traveling or being around people, but I don't like the thought of being restricted from reentry! So we will wait a bit longer on that. Thankfully, Florida is less restrictive than a lot of states and has beautiful beaches so it's a very nice compromise for now. 

I am ready for the tide to turn on life. I think we ALL are. It's been a ridiculous year of heartache for many. 

Control

What better word to use for 2021 than "Control?" After all, everything was pretty much out of control in 2020, right?

If there was ever a year that tested my patience, it was 2020. 

As the year progressed, it just got worse and worse.

Cancelled travel, cancelled school, cancelled races, cancelled family gatherings, cancelled friend gatherings, CANCELLED, CANCELLED, CANCELLED. 

Plus the hovering uncertainty and fear surrounding a virus that we all knew wasn't really going to go away.

Then as the year progressed and the goal posts constantly shifted around every aspect of life, let's throw in job loss and major surgery and rehabilitation. And a kid who was struggling daily with school. And missing my other kid.

Lessons in patience, indeed.

So as I enter 2021 and reflect upon the mishaps of 2020 and where I stand today, I find myself focusing on the word CONTROL. After all, despite the uncertainty and curveballs, there is always something in our lives that we can control. If we forget about that, then we are really going to free fall into the abyss, right?

Having an accident, seriously injuring myself, requiring major surgery, and undergoing months of rehabilitation in order to get back to normal function was completely out of my control (well, unless I had been paying better attention on that run and hasn't tripped). I have no choice but to do what I'm told by my doctors and physical therapists or risk permanent injury and decreased function. But rather than think of it that way, I'm going to turn it around and view it as WITHIN MY CONTROL.

I am in charge of my recovery. I am in charge of choosing to get up everyday and find something new I can do again, to find creative solutions to movement that are within the confines of my recovery, to find a way to keep my nutrition on track, and to find a way to calm my mind. I am in charge of what I consume mentally...the internet, books, movies, whatever that may encompass. I am in charge of who I spend time with (no matter what the government wants to impose), of whom is given space in my head, on whom I focus my energy. 

I may not be able to run or seriously strength train or finish some house projects in a timely manner, but I am completely in charge of sticking to my routine so I can get there when I am supposed to, maybe even sooner. Or I can choose to half-ass my rehab and have it take substantially longer and perhaps even limit my recovery and never be as strong as I was before. I can choose to focus on my current weaknesses and the changes in my body that I find horrible, or I can choose to think of each new movement, of each new exercise as my path to the body I had before October 18. 

This last one is the absolute hardest, admittedly. I hate the way I look right now, even though to the casual observer I don't really look much different. But I see myself daily, I see the subtle changes, the weaknesses, the negative results of the accident and surgery. I'm struggling with this so much right now and it brings me to tears some days. I am not used to being weak and I'm not used to FEELING so weak.

So what am I doing everyday to combat my fears, to combat the negative, to improve my strength and movement, and to get closer to the day I can say that I AM BACK?

First, I religiously do my physical therapy exercises. No shortcuts, no skipped sessions, no laziness. Every morning and every night, with a timer set so I don't get lazy and stop early, I do each and every exercise set forth by my physical therapists. I push myself a little further each day, even when it hurts. I mentally catalogue the change in my range of motion so I know I am making progress daily. Every centimeter added to the range of motion is a victory. Every single centimeter. Some days I'm stiff, but I don't see that as a setback. I set my timer and keep working.

I find exercises I can do that don't harm my shoulder. I can do corework and lower body strength training, so I do that as often as possible, pushing myself a little more, adding more reps or sets each week. I am trying to get creative on what corework I can do without using my shoulder and am slowing clawing my way back to good core strength. 

I can't run yet but I can walk as much as I want, so that's what I do. This past week, I added hill repeats and faster walking paces to the mix. My heartrate still doesn't get very high, but by adding incline I feel like I'm working harder. Luckily our weather is usually good enough to get outdoors daily and for that I'm grateful. I don't have a gym membership anymore nor do we have a treadmill, so I have to get outside.  I am walking about 25 miles per week and will push myself a bit more until I get clearance to start running again. I don't know when that will be....my doctor's protocol is very conservative but I'm progressing faster than the protocol, so the greenlight might be shifting in my favor. I see my doctor in 3 weeks and I hope to dazzle him with my progress. 

Once I get the green light to run, I have to remember that the road to my comeback is slow and long. Everytime you come back from injury, the last thing you want to do is rush the comeback. Time and time again, people will just jump right in and re-injure themselves rather than taking it bit by bit, day by day. I was running 50+ mile weeks before injury. My first run back will likely be a run/walk of two miles, possibly more walking than running. My "long" run? Probably a whopping four miles, with only a mile or so added each week. I won't go from zero running miles to thirty a week right away, that's for sure. I am completely in charge of being smart about comeback. Low and slow miles will get me way further than impatience. 

Every time I discover a new thing that I can do again....put a shirt on the normal way, tie my shoes without having to bend down quite so much, hold something just a tad heavier with my right arm, use the shifter in the car with my right arm instead of my left, put on my eyeliner with my right hand...I celebrate it. It makes me smile, it gets me excited for the next new thing I can do again. These things may seem insignificant, but when you haven't been able to do basic tasks for 10 weeks, every little victory is a HUGE victory. It brings you THAT MUCH CLOSER to full independence again. My next goal is to be able to put my hair in a ponytail. I'm so close. 

Being in control of my mental state is just as important as controlling the progress of my physical state. I have chosen with what to feed my brain this year and I'm going to continue to do so into 2021. Still no Facebook account, still being more intentional with my Instagram account, enjoying seeing people's healthy lifestyles on Strava...it's easy to consume toxicity and negativity and you have to actively reject it. I still don't see myself as coming back to Facebook anytime soon. I am reading a lot of books, both fiction and nonfiction and learning as much as I can about topics important to me. I am giving little attention to anything (or anyone) that doesn't serve my peace and happiness. 

So 2021 is about CONTROL. Controlling not only my physical progress, but controlling my mental state, viewing small victories as big victories, choosing to see baby steps as big steps.