Saturday, 1 June 2013

Ya Just Gotta Tri!

WARNING!  THIS BLOG CONTAINS LOTS OF WORDS.  READ AT YOUR OWN RISK!

The lights were still on, and bright as aircraft landing lights, as I ran, almost staggering along the chute, to where I could see the inflated 'FINISH' arch and the timing mats. People were cheering and yelling my name; it was dark and I had no idea what time it was, but I knew that I'd see the timing clock any second. It had been a loooooong day, hot, windy, hotter and windier, but at last I was finished; I crossed the timing mat and I heard those words that I'd dreamt about for four years, 'Aloha Dean, you are an Ironman!'. Whoooooooosh!……. I woke up in a sweat with my heart racing and pounding like a kudu drum. It wasn't the first dream I'd had about competing in Kona Ironman in Hawaii, and it wouldn't be the last, but for the time being my plans for this event will have to well and truly go on the back burner.  Not forgotten, just postponed!

This particular blog is primarily for me! Of course if others read it, maybe they'll get something out of it too, but mainly it's for me. A kind of redemption, a reflection, a rebuke, a re-evaluation. It hasn't been easy, it's not easy, but it's necessary if I want to maintain a good quality of life both for myself and for my Beautiful Wife, Jaci. It's been a roller coaster ride for both of us to get to this point and I suppose I need to inadvertently thank my attempt at The North Face 50 for my decision to 'pull my horns in' and consider my health rather than charge ahead to do things that I now realise will kill me. Yep, KILL ME! So let me drift back to May, 2012, just after TNF100 and my DNF due to a fall on Narrowneck.

I had said that no matter what happened on TNF100, 2012, I would not do it again. After the DNF I decided that I couldn't leave it unfinished so I was prepared to train for 12 months, again, to get the elusive bronze buckle.  That wasn't enough for me, because I also wanted to complete in a Ironman 70.3 (Half Ironman) as a lead up to ultimately, at the age of 70 anyway, competing in the Kona Ironman in Hawaii. So, at that stage my cup runneth over, and I set about training for an ultra as well as spending time learning and relearning new disciplines; swimming, road bike and road running. I now know that it's near impossible to try to train effectively for all the events. Anyway, that's not what pulled me up short. Something came to a head in November, 2012 that was to change our lives; probably forever! 

I had been swimming in the Bay in preparation for the Port Macquarie Ironman 70.3 that I had registered for about a month previously, when I started to notice that at about a K, I would begin wheezing and it would get to the point that I couldn't breathe and as a consequence I would feel weak, unable to continue. This went on for about a month, so I decided to go to my GP, Dr Letitia. She tried me on puffers with little success, then sent me for a chest x ray. As soon as she looked at the pic, I knew something was not right. She conferred with a colleague and announced that she thought that I could have a malignancy, a golf ball sized tumour in the right lung and a smaller one in the left lung. I was speechless and of course in complete denial. To make the story a little shorter, over the next three months, through a long needle biopsy, X-rays, scans and eventually a combined lung biopsy, thorascopy, and broncoscopy, along with consultations with my Respiratory Specialist, Dr Geoff and a Cardio-thoracic Surgeon, it was decided that there was no malignancy, rather I could have ‘cryptogenic organising pneumonia’, or worse, ‘vasculitis’, both auto-immune diseases, the latter being the worst. All the medicos decided on pneumonia, because that was the least damaging. At least we now knew.......sort of! Throughout this time I was coughing constantly, 24 hours a day, usually non-productive, but the pain and exertion were horrendous.  So treatment started; corticosteroids daily, with other meds to counteract the side effects. One lot of side effects I hadn't counted on were those that made me 'menopausal'; mood swings, sweats, anxiety, irritability, more mood swings. Jaci, throughout all this was my rock and I realised that she was going through hell because not only did she not know what was going on with me, but she couldn’t experience the pain and discomfort that I was; at least I physically knew what was happening with my body.  

My training plans needed to change; forget TNF100 (I'd just organised to transfer an entry, so that had to be cancelled), Port Ironman 70.3 was out, and so was the inaugural Sunshine Coast Ironman 70.3 (cancelled those for 50% refund because the entries were non-transferable), TNF 50 was to be the focus because at least I would only be out in the ‘warmer’ daylight hours, as opposed to running through the freezing cold night/morning hours in the Blue Mountains.  So my revised training schedule began; walking and running, cross training on the road and mountain bikes, gym, swimming in the Bay, hills and distance sessions.  I had grandiose ideas about what I should be achieving in my training, but one factor keep coming up that I knew was not a good thing;  every time I exerted myself, or overdid the session, I would begin coughing, usually about five minutes into a run or ride or a couple of hundred metres in a swim.  Not sooooo bad?  The coughing unfortunately was sometimes - usually, accompanied by blood – haemoptysis!  I knew this was not a good thing, but I had to keep training.  During these months my steroid meds were being reduced until one day I was coughing constantly with blood all the time.  Dr Geoff told me to immediately go back up to the higher dose; it helped but did not stop.  After further consultation with Dr Geoff, I was put on a chemotherapy drug, methotrexate, once a week along with folate as a buffer.  In addition to all these little beauties, I had to supplement myself with iron (to minimise anaemia), and calcium (to minimise osteoporosis).  The first day I took the methotrexate, I also went for a run.  BIG mistake!  It not only wiped me out for the rest of the day but the coughing blood became worse.  Talk about a roller coaster ride; up and down like a toilet seat. So, by medical necessity my rest day became my metho day.  Life…… and training go on!  This period of time I found particularly difficult; on the one hand knowing that I was a sick puppy and needing to not push too hard; on the other hand wanting and needing to train for TNF 50, and who knows what else? Jaci found it difficult too cause she had to put up with this cranky Old Fart!  

Fast forward to the start of May; I’m feeling reasonably good, in fact I’m ready for TNF 50.  I’ve done the Ks, I’ve done the hills and stairs, my breathing is not all that crash-hot but good enough that I can keep going for four or five hours, running and walking.  My training partners, Marty, Michael, Ron, Bec are all going really well and Marty and Michael are looking forward to good times at TNF, Marty the 100, Michael the 50.  Bec eventually decides that she’ll re-visit the TNF 100 next year and Ron is going to sweep this year, with Jaci.  As well, Olly, Frank and Charly were ramping up the Ks and they were all confident of a good TNF 50. Taper time - time to get the mental and emotional side working.  All things being equal I should be able to pull a 9 hour TNF 50; 7 would be nice, but I’ll even settle for 10 hours.  Boy, was I kidding myself, or what?  I didn’t realise at that time just how hard the 50 would be and I sure-as-hell didn’t figure on the ‘Bung Lung Syndrome’ jeopardising my life  

The Blue Mountains in May are, to say the least, beautiful, majestic, picturesque, foggy and cold!  Arriving here on the Thursday prior to TNF gives us a couple of days to acclimatise and rest…..and meet up with friends, like the Woodies.  Coffee of course is mandatory and, I think the ultimate socialiser.  I notice straight away that my cough is more persistent, particularly when I walk or run; not good, but I don’t say anything to anybody.  It’ll be OK!  Jaci is going to Sweep some of the 50 and 100 trails over the weekend and she is also involved at Rego on Friday night.  Busy times for her, but she will run TNF 100 next year and maybe I will sweep.  But for the moment I’ll concentrate on starting the TNF 50 on Saturday morning, the 18th May, 2013 at 9 am.  The TNF 100 starts at 7 am, so we want to be there to cheer all our friends off on that epic event.

Saturday morning sneaks up quicker than I would like but we drive to the Fairmont Resort early, about 5:30 am, still dark and the roads are chokka block with traffic, cars and pedestrians, with the poor volunteers trying to keep some order with parking and people.  We eventually get to the resort and meet up with lots of people we know, wishing them luck for those who are running, light conversation for those who are supporting. Pre-race TNF is a unique time, from rego right up to the starting gun; the energy around the area is electric and you can’t help but feel positive, enthusiastic, motivated, inspired, emotional.  It’s as if you are a member of the one family (which of course you are because the trail running community is very similar to a close-knit family in many respects).  It is difficult to explain to anybody who has not experienced the start of a major endurance event, because the feelings are inexplicable, they need to be experienced.  So it is on this cold, foggy, dry, sunny morning at the start of TNF 100 at around 7:00 am, six start groups about 10 minutes apart, with about 200 runners in each wave; unbelievable!  Two hours later we TNF 50 runners are lined up on the golf course, brain-dead and chatting incoherently, most of us wondering what the hell we are doing there, some of us ready and raring to go; three start groups of about 150 in each group, 10 minutes apart.  The next thing I know, we are off and running, a lap around the golf course first before we head down into Lillian’s Glen to the bridge.  I have problems even at this early stage, having to walk because I start coughing.  It’s slow going through to Conservation Hut, but then I meet up with Michael and we run/walk through to Checkpoint 501 at Queen Vic Hospital.  We’ve made pretty good time to here, but I notice the coughing coinciding with running thing more now. We stay in the checkpoint only long enough to fill hydration bladders and grab a couple of bananas, then off down Kedumba.  Running down Kedumba is a breeze and I’m thankful for all the downhill training, because I’m able to pass heaps of people and the breathing is much easier.  At this stage I think, ‘You bloody beauty, I’ve got it made and everything will be unkey dorey!’  Then we come to the Sublime Point turnoff and things start to turn to manure, due to the undulating nature of the trail.  In fact it seems to me that there are more uphills than there are downhills.  Not too bad because I’m able to power walk up the hills and run down, once again passing a few people.  At this stage I forge ahead of Michael and I’m pretty much on my own.

At this stage of the piece there should be dramatic drum roll or a flash of lightning or a minor earth tremor because I’m at about the 24km mark and I start to cough continually and spit up quite noticeable globs of blood.

(WARNING!  I should warn viewers that from here the descriptions are graphic). 

A couple of Ks further on and I see in the distance, a runner dressed in white and absolutely flying; Its Brendan Davies and he’s headed towards Kedumba at a great rate of knots on the way to beating Kilian Jornet’s 2012 TNF 100 record.  Goooooo Brendan!  I can now boast that I passed Brendan Davies!  Later I would pass lots of other elite runners, including the Ladies winner and new record holder, Beth Cardelli.  The highlights of my TNF.

Returning to reality I realise that I’ve just about done with the Kedumba section and should just about be heading into Leura Forest with about 9kms to Checkpoint 502.  Only one more hill; may as well have been Nellies Glen because I got half way up and found that I could hardly breathe and was spitting rather large amounts of very bright red blood. My breathing was laboured, really difficult to breathe in, almost like a bilge pump, while breathing out was just a short wheeze.  I knew this was not good.  At that stage Jaci rang me, and I was able to get reception, so all I could say was, ‘Can’t breathe!’.  This was it for me, and I knew it was time to stop being so bloody stupid and consider pulling the pin.  Just before the trail headed into the forest there was a first aid vehicle parked, so I thought I would stop and see if the driver had any oxygen (I found out much later that they don’t carry any), but the driver was nowhere to be seen; I found out that he was in the bush taking care of some other poor bugger.  I thought that I would head into the forest and make my way slowly to CP502, since it was only about seven or eight K away.  ‘Hang on you idiot!’ I heard myself yell at the sky, ‘What are you doing?  Are you trying to kill yourself?’  Lots of things go through your mind at times like this, and most of my thoughts concerned the fact that there were still heaps of things I still wanted to do and nearly all those things involved the woman I had married only six weeks before.  If I died, Jaci would kill me!  So I waited by the truck.  Michael caught up, then Olly and Charly; they would all go through and complete TNF 50 in respectable times.  Good onya gang!  Then Ben the First Aider emerged from the bush; I told him my plight, he said that I had made the right decision but we wouldn’t be able to drive out for about three hours.  No problem to me; let Jaci know what was happening then wrap up with blankets in the back seat and nod off.  About three hours later after a slow drive up Kedumba, I hobbled over to the food tent at CP 501, hugged my Wife and proceeded to devour anything that looked like food, apple pie, noodles, coffee, scrolls, banana, fruit bun (in the Army we used to call these armour-piercing rock buns), and another apple pie. 

Now came the recriminations, the thoughts that maybe I could have continued, maybe I shouldn’t have pulled the pin, maybe I was a woos, no guts!  Then the responses that if I had not pulled out I could have died (I was still coughing bright red blood a few hours later, and blood streaked sputum a couple of weeks later), too much to live for and too many things to fulfil with the woman I love.  I don’t feel bad about it now because I KNOW it was the right thing to do.

So now it’s all over for another year.  There is always next year and there is always another event.  Now, however I’ve come to realise that there will probably not be a Kona Ironman, maybe not even any Ironman, or even Ironman 70.3, not another TNF 100, maybe not even another TNF 50.  But there will probably be an Olympic Distance Triathlon, a duathlon, an adventure race, a half marathon, and next May I’ll volunteer to Sweep TNF – no pressure, no stress!  The realisation has come to me after much brow-beating, soul-searching and gnashing of teeth that I won’t be able to damage my lungs again, and that I WILL need to not push too hard.  So my action plan is:
1.   Figure out what I CAN do
  2.  Figure out what I CAN’T do,
  3.   Rest for as long as necessary,
 4.  Recover for as long as necessary,
5.  Toughen Up Princess, and
  6.  Get off my bum and get stuck into what I figured out in # 1.

Well, that’s about it!  It’s now just over two weeks after North Face and although the muscles
have well and truly recovered, I am now constantly coughing, most of the time non-productive, but still often with bloody sputum  I will need to speak to my specialist, Dr Geoff and will probably need to up my meds.  All this is just maintenance, this vasculitis is not going to go away soon so I need to take notice of my advisor, Jaci and follow my own action plan.  The whole process is a bit like trail running and ultra-marathons, the principle that I learnt a long time ago, ‘Relentless Forward Progress’!

I would like to acknowledge the efforts of my many friends and training partners who, without realising it, taught me courage and humility, determination and toughness.  You are a rare breed and I am a better person for knowing all of you.  Finally I want to acknowledge and thank My Wife, Jaci, who has made my life a joy through her ability to instil happiness by applying a very simple component………Love!