Monday, November 23, 2015

Shut Down, Again

Since my last blog post, I've had some setbacks with my running. What's new, right? The week after my first 10-mile run in 3 years, I ran yet another one. This came the day after a particularly hard PT session, including some exercises I hadn't done before. Consequently, I struggled during the run, had more pain than usual, and was too hardheaded to cut the run short. Ergo, I came out of it a bit scathed, rather than the unscathed I was hoping for.

Fast-forward a few more days and I went out for a moderately paced 4-miler, which I had to cut a mile short due to a strained right calf. It was a cold day, so I thought the calf was just tight. As the run went on, it hurt more and more. That was about a week and a half ago, and I haven't run since.

Of course it's frustrating, but I'm used to that feeling. It's how my body rolls these days. Two steps forward, two steps back. I'm hoping to add at least a half step to the two forward eventually. I don't expect to ever be 100% injury-free or pain-free again when it comes to running. But I hope to get to where it's at least manageable and only a little uncomfortable.

In the meantime, I've dusted off my trusty fluid trainer and have done a few indoor rides, taking advantage of my Netflix subscription. It's not as fun as running (or even riding) outdoors, but I get a really good workout and sweat like crazy, so it's not all bad.

I also started hitting the weights and bodyweight exercises again. I think I may have gotten a tad ahead of myself, however. This morning, my left forearm is throbbing and a little sore right around the break area. I think the pull ups may be the primary culprit. I may not be ready to hang and pull my entire bodyweight up with my arms — left arm, in particular. So, I shall back off again and let it rest.

This has been a bit of a tough year for me, physically. I'm getting weary of complaining like an old man, but I really feel like one lately. I had two relatively serious bike crashes, arm surgery, a bad knee (even before any crashing), a root canal on a dying tooth, a strained calf, some shoulder problems, and get the h*ll offa my lawn, you blasted kids!

But, here in the U.S., it's Thanksgiving week. I'm alive and otherwise healthy. Got a great wife, two awesome daughters, a spoiled dog, roof over my head and food in my belly. Get to draw things for a living. Any complaining I do is pretty ridiculous when put into perspective, I guess.

I'm very, very thankful. I wish you all a Happy Thanksgiving.

Saturday, October 31, 2015

Double Digits, and a PT Update

This week marked the first time in nearly THREE YEARS since I've recorded a double-digit run! I ran a pretty solid 10 miles last Thursday, keeping the pace nice and easy (9:05/mile average). As usual, my left knee hurt for 2-3 miles, but then it settled down quite a bit. My right hip (which has sometimes hurt more than the knee) barked a few times, but didn't feel too bad. This was an out-and-back run (which I've been doing on the Centennial Trail, by the Spokane River, for my long runs) and I was going to go out 4 miles and turn around, unless I felt better than usual, in which case I'd stretch it to 5. That's what I did, and the last 5 miles were the least painful miles I've run in a LONG time! If all runs felt like those last 5 miles, I could live with that. However, I'm sure that won't always be the case, given my history.

Which leads me to the physical therapy I'm currently doing. I just finished my second full week (twice per week), and it seems to be helping. I'm doing a lot of foam rolling (on the evil black roller), stretching (hamstrings, calves, groin, quads) and a good deal of hip and glute strengthening using various exercise bands. I'm also working on my single-leg balance using a couple of different exercises. I've had my left IT band rubbed and dug into a couple of times (and have bruises to prove it), but it seems a little looser. I often leave there feeling pretty beat up and unable to walk normally, but I can finally feel my stabilizer muscles kicking in now during some of the movements. And, like I mentioned above, the knee pain seems to be lessening a little.

On my second visit, I ran a mile on the treadmill while my PT guy watched my form. I apparently swing my legs a bit and "scissor" my stride (i.e. cross over a little), which probably puts my knees in poor alignment, along with my hips. He says that should start correcting itself as I get stronger and more flexible, but I've started consciously working on my stride the last couple of runs. It feels odd, but I'm trying to make it only a small adjustment and not go overboard and potentially cause other issues. I'll be doing PT until the end of November. After that, I'll continue doing it at home on a maintenance program, and will do my best to roll and stretch both before and after I run.

Today, I finally set my beat-up bike on the trainer and did an easy 45 minute spin. It was the first time I've been on the bike since my accident back on August 13th. It felt good to be back on, even if it was indoors on a stationary trainer. I'm very hesitant to ride that bike outdoors again. I'll probably have the shop look it over, but it did get banged up pretty good in the accident, and if any of the frame is compromised, I'm asking for trouble by riding it outdoors again. And that's the logic I'm using on my wife in hopes of getting her blessing on buying a new bike! Thanks to our glut of broken arm expenses, I'm not expecting that blessing to be granted until next year (if even then), but with a few triathlons in my plans for 2016, I'll pretty much need the new bike.

But marital harmony comes first.

And I'm going to end this blog entry before I get myself into trouble. Thankfully, my better half doesn't read this blog.

I hope...

Thursday, October 15, 2015

Ten Thousand Miles, an MRI, and PT!

Well, well, well...

After FAR too many years, I finally managed to hit the 10,000 mile mark for lifetime running mileage. Some of you might say, "that's quite an achievement for someone dealing with so many injuries over the years," and others might say, "jeesh, it took you long enough!" You would both be correct. I have many running friends who have eclipsed this mileage in far less time and have probably doubled or tripled my mileage already, so this won't be all that impressive to those folks. But it hasn't been an easy road for me. Still isn't.

Ran my 10,000th mile today in 7:22 (4th mile of a 5 mile run). Didn't feel easy. Sucks to be out of shape. And yes, my knee and hip hurt. But it was awesome!

It all started back on June 26, 1983 (Actually, it started a few years before that, with a year of XC during middle school, for which I have no written records, so I don't include those miles.) I was living in Kent, WA with my dad, stepmom and baby sister but visiting my mom and other family in Florida during summer break. I was going into my junior year of high school and had decided I wanted to run cross country. So I started running loops around the block where we lived.

Those of you that know me at all will NOT be surprised to know that I do, indeed, have my first written log from that time. My first recorded run was a 2-miler (at 6:46 pace!) around the block (CD stands for Crestwood Drive). I also like that I threw down a 5:44 mile during my second week of running. Ah, youth...

Low mileage, fast pace. What's this "base building" people talk about?

Thirty-two years of ups and downs (and plenty of injuries) later, I finally met that goal. You can see on the right side of this blog, if you scroll down a ways, my year-to-year mileage. Some years have zeroes, some have hardly any mileage at all. I'll admit that not all of those paltry years were due to injuries. Post high school, I lost interest in running (oh, if I had that time back again...I was just starting to get fast when I graduated!) There were other years where I decided I was going to lift weights and add muscle to my skinny frame. And, of course, there were plenty of injuries that derailed my running, sometimes for months (or years) at a time. But, glutton for punishment that I seem to be, I always returned to running. It's in my blood.

So, here's to the next 10,000 miles, God (and body) willing.

Speaking of a willing body, I ended up getting an MRI on my left knee after all. I won't go into the ugly details involving my insurance company (there are still issues being dealt with), but I met with my doc a few days ago to go over the results. Long story short, my knee looks great! No tears. Cartilage, tendons & ligaments all look good. Very little wear and tear. No arthritis. There is a bone bruise (probably from one of my bike crashes, but my knee pain goes back long before any crash), and there's a bit of fat deposit that might be causing impingement, but nothing that's obviously giving me the knee pain I'm still experiencing. I'm thrilled to know the knee is structurally sound, but frustrated that I still don't know what's up. Doc said that tight hamstrings can lead to knee pain (I've had tight hamstrings for decades, so I doubt it's the main problem.) I decided to go for a 6-week round of physical therapy to hopefully get my gait analyzed (again), get more flexible, deal with any strength imbalances and weaknesses and, hopefully, put the chronic pain behind me.

After all, I've got another 10,000+ miles to run. Don't want it to be painful! At least, not the bad kind of pain...

Monday, October 5, 2015

Ye Olde Updayte Tyme Again!

Just a quick check-in to update the proceedings at Resurrected Runner Headquarters.

Fall has settled upon the Inland Northwest, and we've taken it upon ourselves to hire an entirely new staff. By "staff," I of course am referring to a brand new pen, a new page in my old school running log, and a new and improved mess of running shoes scattered across my closet floor.

Aside from that, here are a few updates:
1. My broken arm is still broken, but I've finally moved out of the splint and am doing a series of exercises to regain both strength and mobility. It's going surprisingly well. If that continues, I won't need official occupational therapy. The scar is also healing nicely, too. It'll still be a while before I can lift anything heavy.

 

2. I've been running twice per week for going on 6 weeks now, gradually increasing both my pace and distance. Last Thursday, I ran a not-so-easy 7-miler (longest run in 2 years). This morning, I cranked out a nice 4 mile tempo run, followed by 4 x .08 mile strides, for a cumulative average pace of 7:46 per mile. Probably didn't need to do the strides, given my knee issue. But man, they felt good! It seems like this twice per week frequency is at least somewhat agreeable to my knee, given that it has felt about the same for every run this past 5 weeks.

3. Which leads me to the knee MRI update. Since we're still fighting my insurance company on my broken arm costs, and they've been GLACIALLY slow at processing claims, it now looks like I won't be able to get my MRI by my October 16th deadline, unless I want to pay for it out of pocket. Given how much we've already paid out of pocket for my arm, I don't think this will be doable for us right now, sadly.

4. However, I have been doing some knee-related exercises and stretches in an attempt to remedy the situation myself. I've done plenty of reading and video watching and am doing what I need to do for "runner's knee," which is a rather ambiguous term for the pain I'm experiencing. Not sure if it's helping yet, but as I mentioned earlier, it doesn't seem to be getting any worse, given my two runs per week currently. One probable side effect of my left knee pain is a right hip that's been pretty sore. I would guess that I'm compensating for the knee while I'm running. Dang, this old body...

5. To continue on the running theme (hey, I should do a blog about running!), I am now 15 miles shy of 10,000 lifetime running miles. Unless something interesting happens the next couple of weeks, I'll probably refrain from posting here until I hit that milestone.

...and you never know what kind of interesting injury I can fit in between now and then, so stay tuned!

Friday, September 18, 2015

X-ray Done, MRI Coming Soon...Hopefully

A week ago today, I visited my arm surgery doc to start discussing my left knee issues. In case you haven't followed along at home (if not, I don't blame you!), my left knee has been hurting for about two years now, and has gotten progressively worse. It's usually a sharp pain underneath my kneecap (lower, inner part) that most often shows up when my foot hits the ground when I'm running. Usually, it hurts badly for the first mile or two, then settles down the rest of the way. But if I try to run too often, it seems to last longer and, eventually, I'm forced to take a break from running altogether. Currently, I've been running twice per week, 3-5 miles at a time. Yesterday, during a 5 mile run, the knee hurt for about 3 miles. Getting close to that "take a break" time again, it seems.

Anyway, I had an X-ray last Friday, which showed nothing out of the ordinary. In fact, the doc said there was nice spacing around the joint (meaning I haven't totally destroyed my cartilage yet). He also wiggled my kneecap around and didn't feel much grinding or clicking. At that point, he gave me two choices: start physical therapy or get an MRI. I chose the latter, just because I want to know for sure what's going on in there...assuming an MRI will disclose that information. So now I have to wait for approval from my insurance company. I've met my deductible, but due to slow processing by said insurance company, that's not "official" just yet. So, I may not get approved anytime soon. And I'd rather not pay out-of-pocket for this MRI, especially after all of my recent medical expenses.

As for my broken arm, it's coming along fairly well. I'm still wearing the splint, and when it's off (when I'm showering or changing the sleeve under it), my arm feels very fragile and vulnerable. It hurts to bend my wrist in any direction. The incision is healing quite well, though, so I'm hoping that the scar won't be too ugly in the future. I go in for a checkup at the end of this month (Sept.) to possibly schedule my first session of occupational therapy, to try to get some strength and mobility back. I'm looking forward to having two functional arms once again.

Even though I could probably set up my trainer and do some indoor riding, I haven't done it yet. I'm pretty sure my bike needs some attention. Actually, I could probably get it into rideable condition for the trainer, but I'm sure it's not ready to ride outdoors. It'll need a pretty serious tune-up at the shop first.

So, things certainly haven't been boring here in Resurrected Runnerland.

But, honestly, boring sounds pretty good about now...

Thursday, September 10, 2015

One Final Run...

Today, I got in one last run before FINALLY getting my left knee checked out tomorrow morning.

I ran 4 miles at an 8:39 pace, with each mile getting progressively faster. It was warm (76°f) since summer has decided to return for an encore, at least through the weekend. As usual, my knee hurt for about a mile and a half, then settled down to merely being an annoyance. I was feeling pretty spent by the end of the run.

I'm now just 46 miles shy of 10,000 lifetime running miles. I'd love to eclipse that barrier with the last mile of a BQ time in a marathon, but unfortunately, that won't happen. More than likely, it'll be another semi-painful, anti-climactic short run. But there were some far more exciting miles that got me to this point, so I'll try to dwell on those when I do finally hit that number.

Time permitting, I'll report back tomorrow on the doctor's first impressions of my knee issues.

Friday, September 4, 2015

First Doc Visit, Post-Surgery

On Monday (8/31), I saw my orthopedist for the first time since he cut me open and made me less than an all-natural human.

It was a good visit, even though getting the stitches pulled out of my arm wasn't pleasant.

 
Courtesy Dr. Frankenstein

Thankfully, after my splint was removed, I was fitted with a new, shorter, REMOVABLE splint!

Don't worry, the flamethrower button is on the "safety" setting.

It also lets me adjust the tension with the handy dial you see in the pic. It better be functional, since they charge $440 for this little beauty (hopefully insurance will foot...or arm...the bill).

Here's an X-ray of my arm after getting the bone set in the ER. It's obvious why surgery was necessary.

"We think you're being a bit picky, sir. What do you mean this isn't close enough?!"


And here's a peek at what lies inside of my left arm now:

"Well, Mr. Hayes, you're screwed."


I'll go back in another 4 weeks to possibly get the go-ahead to try life without the splint, if I'm very careful. I'll also begin some PT to slowly rebuild strength and mobility. In the meantime, I can remove the splint to shower (there's also an arm sock I wear under the sleeve. I have two, so I can wash and alternate them, as they do get a little stinky), but I can't bear much weight with the arm, nor rotate my wrist.

While there for my follow-up, I also got the ball rolling with my knee. I will go in on 9/11 to start the process of figuring out what its problem(s) is (are). The insurance company won't sign off on a surgery for something that doesn't affect normal activity (are they insinuating that running isn't normal?) until all other methods of fixing the issue are tried, such as PT, steroid/cortisone shots, etc. So it could be a long process. If surgery ends up being the solution, I hope it can get done before the end of the year, since I've met my (ridiculously high) deductible this year and don't want to pay it again next year!

In the meantime, I'll be following my friend Adam's progress as he recovers from knee surgery. Hang tough, buddy, and good luck with your recovery. You'll be back out there running and making emergency bathroom stops at the quickie mart in no time!

Thursday, August 27, 2015

Post-Surgery Update, and Potential Plans for More Surgery

It's been 9 days since I had surgery on my broken left arm, and things seem to be progressing as expected. The surgery to insert a metal plate and screws (not sure how many) went well (only took an hour), and I'm back in a hard splint, held up by a sling. I have full use of my fingers, which is a good sign, although there's a very small, persistently numb spot on my index finger. Even if it's permanent, it's not a big deal.

I took the day after surgery very easy. I took pain meds every few hours. I've since resumed full-time work and am only taking pain meds when needed, which is right before bed and occasionally one during the day, if I've been a little too eager to use my left hand (like today, for example).

My first return visit to the doc who cut me will be on Monday, Aug. 31st. He'll most likely remove the splint to take a look at how the incision is healing. Hopefully, he'll put me in a shorter splint so I can bend my elbow. We'll see. He won't be putting me in a traditional hard cast, though, which is nice.

The itching under the splint has been more annoying than the pain, but even that seems to be subsiding. My other cuts and scrapes are healing nicely and have formed some of the biggest, thickest scabs ever seen in the free world. The looks and reprimands I've been subjected to for picking at those scabs is terribly unfair. I mean...it's so satisfying!

I still need help doing many things, although I've taught myself some tricks and shortcuts, and have become more dexterous with my right hand. I can button and zip my pants all by myself, like a big boy, but I still need help making my meals and washing myself. I hope my wife doesn't get suspicious when I still ask her to bathe me a year from now. "But honey, the doctor says that this is the last skill to be redeveloped after such a violent break. It could be five, ten years before I can bathe myself...and even then, it's dangerous."

Yeah, I doubt it, too. A guy can dream, though...

As for my activity level, I can do a few exercises, some 1-arm dumbbell work, and walking, as long as I don't get too sweaty under my splint. Going from 150+ miles of cycling per week to zero has confused my body, both from an exercise perspective and a dietary one. I still want to eat as much as I was pre-accident, but I'm trying to keep the intake in check. It took too long to drop last year's excess weight. Don't want to go through that again.

Now, the even more interesting news. Since my insanely high insurance deductible of [insert Luxembourg's GDP here] has finally been met, I now have full coverage. Imaging is included, so it might be time to get my left knee checked out. I at least want an MRI to determine what's going on in there. Then, if there's a chance it could be fixed, perhaps surgery would be worth it. If so, here's what the next few months potentially looks like for me:

AUG - arm surgery
SEPT - root canal (9/3)
OCT-DEC - knee surgery?
JAN 2016 - beg wife not to leave me

It would be a royal pain to go through all that in just a few months' time, but if I can get an MRI and knee surgery for essentially no cost out-of-pocket, it would be a shame not to do it — especially if it would allow me to run again. I'm not getting my hopes too high just yet, but who knows?


Saturday, August 15, 2015

A Flair For The Dramatic

As I sit here typing slowly with only my right hand, I'm trying to figure out how to explain how I'm feeling about all the miles I've put on my bike this year, all the recent hill climbing, the weight loss, the noticeably improved fitness...and the fact that I won't be able to ride the 108 mile Coeur d'Fondo next month.

Yes, my friends, I've once again had a bike accident. This one, however, was a doozy. It was violent, and it broke my left arm.

It was going to be a relatively short, flat and easy ride with my riding buddy Tom. 40 miles total, out and back on the Centennial Trail. All was going well. We were two miles from the end of the ride when we had to move left to pass a runner. I was on the far left and didn't see a big bump, hidden in a shadow. We were riding at a good clip when I hit the bump and went flying with my bike. It happened very fast, so I couldn't tell you exactly how I landed. All I know is that my body skid several feet before stopping. I laid there moaning, and Tom told me not to move. Blood was gushing from the back of my right arm, and my left arm was bent in a very unnatural way. The shock and adrenaline masked the pain at first, but once I stood up, I started feeling it. I had to hold my left forearm in place with my right hand, otherwise it would twist and flop completely over (sorry) and hurt. Badly. Tom walked me to a shady spot in a nearby parking lot while he rode off to get his car to drive me to the ER. My wife, who Tom called for me, was already at the ER when we arrived.

After too long a wait, I was taken back for X-rays. They X-rayed my left arm, right elbow and left knee, all of which took the brunt of the impact. My left radius was cleanly snapped in half and nearly sticking through the skin. Any movement of my left arm was agonizing, and I nearly shed a manly tear or two as the X-ray tech positioned my arm for several images.

Back to the waiting room for a L-O-N-G time again, then finally back in to get the bone re-set and splinted.

I was given a tetanus shot, Propofol (the drug that killed Michael Jackson) to put me under, along with Demerol for the pain. For some reason (adrenaline? fear of ending up like Jacko?) I never drifted off. One of the docs said he had never seen that before.

The procedure involved hanging my left arm by my fingers (using metal traps that look like those old Chinese finger traps) and having the arm bent at 90 degrees. Then, they hung a sling from my upper arm with weights in it to pull the bones apart. Even with the drugs, that was loads of fun, kids. After several minutes of manipulation, they still weren't able to get the bone to stay in place, so they did the best they could, splinted it, and said I would likely need surgery.

After the splint hardened, I was wheeled back for a CAT scan, which confirmed that I also had a fractured bone in my wrist (probably from an earlier crash this year). Since it doesn't seem to be an issue, it'll be left alone, although they said it could be removed entirely if it still caused pain.

Finally, six and a half hours into my happy hospital visit, I was allowed to go home (stopping by the pharmacy on the way to get my pain meds).

I met with the orthopedist yesterday and will have surgery this coming Tuesday to get a plate and pins put in to keep the bone in place. They will be permanent. If my insurance will cover it, I'd like to opt for bionic parts, maybe with a lazer gun option.

The important question, you're probably asking, is, "how's the bike?" Well, it's pretty banged up and will need some repairs. I'll let the bike shop assess the damage once I'm able to take it in.

In all seriousness, that invisible bump may end up making our savings account invisible, even WITH my insurance.

Sleeping with a splint and sling has been difficult, but the Percocet has helped a little. And, fortunately, I'm married to a patient woman. She'll have to be, not only because I need help doing many things, but also because I'll be getting very restless and grumpy not being able to ride, run or work out for several weeks.

So, with that said, here are some pictures. Don't scroll down if you're queasy about this sort of thing...













Are we having fun yet? Just before drugs & reduction time.



Side view of left forearm

Top view of left forearm

Right arm, after clean-up. Somehow got a hole nearly down to the bone.

Nice road rashes on right knee.




Tuesday, August 11, 2015

Week in Review

I've fallen into the pattern of updating my previous week's activities, so I might as well continue that trend.

Here are my cycling numbers:

Rides: 3   (YTD: 47)
Miles: 149.1   (YTD: 1729)
Time: 9:16:30   (YTD: 99.9 hrs)
Elevation: 4692'   (29,106')

Runs: 1  (YTD: 20)
Miles: 2.6   (YTD: 73.9)
Time: 24:37   (YTD: 10.9 hrs)

I also walked 20 miles last week (YTD: 385.4 mi)

I had a very challenging ride last Thursday. The distance (54.9 mi.) wasn't what made it tough, it was the climbing and the wind. There were two significant climbs on this ride, the latter being the toughest climb I've ever done. I rode up Quinimose Rd, then took the turn onto Broken Lance Dr. Both of those roads are steep, mostly out-of-the-saddle climbs. I've also been riding from my house when I ride solo, which means I always finish with a decent climb, since we live on a hill. My goal for August is to climb 20,000'. I honestly don't think I'll achieve that number, but I will climb more than last month, without a doubt. I'm trying to get the climbs in before the Coeur d'Fondo 108 mile ride next month, since that's a very hilly course.

One other quick note, regarding climbing, is that I finally climbed up to the Arbor Crest Winery. It's not long (.8 mi), but it's very steep. It felt good to finally get that climb under my belt.

Speaking of hills, I need to get ready for another hilly ride this morning, so with that, I'll post a few pics from last week's rides:

Turkey family, Riverview Drive

From the top of Broken Lance Dr.

Off of Henry Road, Saltese Flats area.

Arbor Crest!

On the way down from Arbor Crest.

View from road up to Arbor Crest.