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Showing posts with label Pulmonary Embolism. Show all posts
Showing posts with label Pulmonary Embolism. Show all posts

Every now and then

Some of the Terrigal Trotters team on the way to the
Woodford to Glenbrook 25km Trail Race.

It is nine months since my last Woodford to Glenbrook 25km trail run (it was postponed three months last year because of flooding), and my life during those nine months has been quite eventful, particularly on the health front.  Five months ago, when dealing with the Deep Vein Thrombosis, Pulmonary Embolism and Atrial Flutter, I was telling myself that if I could just run again, even a few kilometres a week, I would be happy.  I did not give myself any chance of running Woodford to Glenbrook this year, so was very happy to not only be on the starting line yesterday, but feeling well enough to race.

My right Achilles tendon and heel remain very painful, but otherwise I have been feeling fit, so I was keen to see what I could do without any great pre-race expectations.  Last year I ran 2:01 and was second in the 60+ age group.  I hoped to go sub-2:00 this year and win the 60+.

It was a cold morning in the Blue Mountains with an icy wind, but the sun was shining and once we started running the cold didn't seem so bad.  I started steadily with the goal of running within myself for the first 10 kilometres, and that approach worked well, though left me weaving through many of the 380-strong field on the rocky undulating fire trail.  I didn't push it up the hills, trying to keep my breathing regular, but still sensitive to a pressure I could feel in the centre of my chest as my heart rate rose.  This pressure may always have been there, but would have been unnoticed a year ago.  A little worrying nevertheless.

A whale wallowed just off Copa beach during my
slow recovery walk this morning.

Even running within myself, I was gaining a few places on the climbs, but was doing even better on the flats and steep technical downhills.  As last year, I really enjoyed letting myself go down the hills, trusting myself to react quickly enough on the loose rocky track as I slalomed through slower runners.  It made me feel young again, though in a concession to my health issues, I was wearing a medical wristband alerting any paramedics to the Warfarin (blood thinner) I was taking.  Cuts would bleed profusely and a bad head knock could risk a brain haemmorhage.

The last 10 kilometres of the race was on a gradual downhill section that seemed never-ending.  By this time, my bad Achilles was very painful and I fought to maintain an even stride though every step hurt badly.  I still managed to catch a few more people, though lost a couple of places in the last few hundred metres on the race to the finish line.

I was surprised and pleased to see my time of 1:52, and later to find I had won the 60+ age group by 20 minutes.  A very satisfying day, though walking today has been very painful on my sore heel.  I see a specialist this week to review my blood clot issues and hopefully get off the Warfarin.  I'm not getting my hopes up.

A year on

Still moving well at the 12km mark.

This time a year ago, I ran the Macleay River Marathon after just two weeks training following three weeks of hiking.  I was pleased and surprised to finish in 3:24, a good kick-off in my campaign to run a sub-3 hour marathon four months later.  What a difference a year makes.

On Sunday, with not a lot of confidence, I fronted up for my second Macleay River Marathon.  This time, a sub-3 hour marathon was not on the horizon.  It was more about proving to myself that life had returned to normal after the DVT, Pulmonary Embolism and Atrial Flutter episodes of six months ago.  I was confident I had done enough training to complete a marathon, but wasn't sure how fast.  In the back of my mind was a faint hope that I would run faster than last year, but a bruised and painful heel, probably associated with my chronic right Achilles tendon injury, sobered my expectations.  I kept telling myself that finishing with some kind of dignity would be sufficient.

Not quite so smooth at 25km.

I try to resist last-minute changes to pre-race preparations, but a couple of days before the marathon I decided that my heel was bothering me sufficiently to warrant wearing more cushioned shoes - my Hokas - that I hadn't raced in before.  Not ideal, but I told myself I would regret it if my heel became very painful early in the race.  In retrospect, it's hard to know whether this was the right decision.  The race went more or less according to plan until half-way, although I never felt I was running smoothly.  I didn't watch the clock and I didn't start too fast.  Instead, I was near the back early and then gradually worked my way through the field as I warmed up.  By half-way I had caught all of the runners who I felt should finish behind me.  Competitive arrogance can be hard to restrain.

Happy to finish.

However, during the third 10km of the race, as I started to get tired, I had trouble maintaining a good rhythm.  It seemed the cushioned shoes were not sufficiently stable as my muscle fatigue grew, and worryingly, I even found it hard to maintain a straight line.  My heel was also becoming very painful.  Around 30km, I realised I needed to slow down if I was to still be running at the finish.

I plodded along, probably more than a minute per kilometre slower than I had been running, wondering how many people would catch me before the end.  I was particularly worried about Ray, a fellow 60+ runner and tough competitor, and clubmates Jacqui and Greg.  I had passed all three in the second 10km of the race.

Ray came past with nine kilometres to go, running strongly, and gave me a pat on the back, but despite my fears and my slow pace, Jacqui and Greg didn't catch me and I was pleasantly surprised to cross the line in 3:39.  Not as fast as I had hoped, but not as bad as I feared during those laborious and painful last ten kilometres.

Since the race, my heel has been very sore, and I lay in bed last night, kept awake by the pain, contemplating surgery.  I'll leave it another couple of months, but I think something will need to be done.

Fitter...and more anxious

I recently found this old picture of
me running a length of the original
stadium at Olympia in Greece in 1975.

This week, I have really noticed an improvement in my fitness level and the proof was this morning's relatively strong run on the Terrigal Trotters "Pony Club Run" course.  I'm still not running with the leading bunch, but they were within sight for much of the first half of the 14km course and I felt I was moving comfortably at a faster pace for most of the run.

I should be feeling fitter.  I have run most days for the last eleven weeks and have averaged 100 kilometres a week for the past month, so it's nice to know that I'm getting a benefit.  However, with the fitness, and returning competitiveness, comes some anxiety.  Almost certainly, I have recovered full lung function after the Pulmonary Embolism four months ago.  And, my heart continues to beat regularly and strongly following the DC Cardioversion back in February to correct my debilitating Atrial Flutter.  But, constantly in my mind, is the worry that my heart will revert, maybe as a result of running hard.  When writing last night's blog, I mentioned a famous and extremely talented English ultra-distance runner, Cavin Woodward.  In 1975 he set a new world record for 100 Miles of 11hrs 38mins 54secs and en route also became the holder of World Best times for 50miles, 100km and 150km!  When I Googled him, I was saddened to see that he died in 2010 of a heart attack at age 62!  Then this morning, a friend was relating the story of an athlete competing in last weekend's Port Macquarie Ironman not long after he had been treated for a heart problem.  He finished the triathlon but was complaining of chest tightness.  He's only in his mid-30s.

On the hills in this morning's run, I could also feel some tightness in my chest at the base of my sternum.  I have been aware of it over the past month when running hard, but have not discerned any related problems.  Did I always have this tightness, but never paid attention in the past?  Is it breathing- rather than heart-related?  It feels more like an airway constriction.  I guess time will tell.  For the moment, it's a very satisfying feeling to be getting faster and I'm enjoying my running in a way I thought would never be possible again four months ago.

Road running

An early part of today's run was along
Cullens Road which I enjoy so long as
traffic is light.

I'm getting fitter following my heart/lung problems at the end of last year and am continuing to contemplate running the Macleay River Marathon in four weeks time, just to see how I go.  One argument against running is that my legs still need some toughening up if I'm not to disgrace myself.

Although I enjoy running on trail more than road, my experience has been that if you want to race long distances on the road, you need to train over long distances on the road.  It is the hours of repetitive pounding on the road, with every step exactly replicating the preceding step's effect on the musculo-skeletal system, that builds the fitness necessary to cope with a marathon.  After training for long distances on the road, I have always been able to feel the growing strength in my legs, particularly the quadriceps.  Almost suddenly, I will feel stronger, fitter and faster, after a few long road runs.

Ward's Hill is steeper than it looks.

I know I need a couple of long road runs under my belt before tackling a marathon.  For my training today, I ran one of my favourite 21km courses from my home in Copa.  It has some long road stretches, some busy and some quiet, along with a few hills, including one really nasty one around halfway.  I felt good early, maybe the best this year, and was averaging 5 mins/km for the flat sections, but I could feel my legs getting very tired by the time I summited Ward's Hill.  By working harder, I maintained my momentum, but struggled on the last hill with three kilometres to go.

I finished comfortably, but am convinced I need to get in a couple of long road runs in the next two to three weeks if I want to reach an acceptable level of fitness for the marathon.  I haven't entered yet.

Human encounters

Brixton.

There are a number of posts in this blog about alarming and interesting encounters I have had with animals while out running, but only a few about human encounters.  Before going any further, however, I have to acknowledge that male runners face far fewer human threats than female runners. A number of females I know personally have been harassed and chased by men when out running, and we have all read stories about women runners assaulted and even killed.  I have always felt fortunate to be able to run almost anywhere I like without fearing human interference, and those few bad encounters I have had don't amount to much.

A few scary incidents have already been mentioned in this blog including being stopped by abusive Russian police while out running near Smolensk (see ‘No Visa’), being chased by two guys in a car and on foot while leading a half marathon (see ‘Unexpected Hazards’), and being followed by a guy whose car I had banged when he cut me off at a corner (see ‘A road rage story’).

Bucharest, Romania.

In the London suburb of Brixton, I sometimes felt quite intimidated by milling groups of black youths blocking the footpath during my evening running commute in the mid-1970s.  They never showed any inclination to move aside as I approached, and I always had to slow down and gently work my way through the group.  One time I received a good-natured whack across the butt with a cricket bat as I passed, but that was the worst that ever happened.

On another occasion in the mid-1970s, I was returning to our campsite from an evening run through the suburbs of Bucharest in Romania, when I met a group of loud young men and women walking towards me, line abreast, along a path.  They showed no sign of letting me pass.  I moved to the very left-hand side, where there just room to squeeze through, but as I passed one of the guys pushed the girl on the end of the line into my path.  I just had time to drop my shoulder to absorb the impact and knocked the girl heavily to the ground.  Pandemonium broke out and I didn't hang around to see if the girl was OK, instead accelerating off into the gloom.

Swan Street Bridge, Melbourne.

The only other physical encounter I can recall occurred when running across Swan Street Bridge in Melbourne one warm summer evening.  As I passed an intoxicated young guy coming the other way, he suddenly and unexpectedly swung his fist hard into my stomach.  Although briefly winded, I recovered and angrily approached him demanding to know why he had hit me.  Putting his bag down, he struck a defensive pose.  Rather than fight, I quickly grabbed his bag and ran further across the bridge.  A small crowd gathered as I hung the bag over the railing, threatening to drop it into the Yarra River below.  In the end, I cooled down, threw his bag back to him, and continued my run.

I have heard of runners being hit by objects thrown from cars, but that has never happened to me, although I did once cop a milkshake while out riding my bike.

Elwood coastline with Melbourne skyline
in the background.

Perhaps the most interesting human encounter I ever had was in the early 1980s during my regular Wednesday evening 20 mile run which incorporated a long stretch on paths along the coast of Port Phillip Bay in Melbourne’s inner suburbs.  One very warm summer evening, on a more remote stretch of the path in Elwood, two young women were walking towards me along the path wearing towelling robes, apparently having been swimming or sunbathing.  I saw them exchange words and then just before I reached them, they said ‘Ta Dah!’ and both flung open their robes to reveal nothing was being worn underneath.  I must have looked shocked (and I was), and heard them laughing loudly behind me as I continued on my way.

I ran a slow and lethargic 15km this morning on the roads with a few hills.  My legs still felt heavy and stiff from Sunday's long run, although I was moving more freely by the end.  When breathing harder on the hills, I'm still occasionally getting a feeling of pressure in my chest at the base of the sternum, but there's no other evidence of a problem and I'm inclined to pass it off as just the result of breathing harder.  My resting pulse rate is now back below 40, where it was before I had the heart and lung problems late last year.

How much is too much?

Waiting for me the first time on the Bush Bash.

Any rational analysis would suggest running 47km on trails yesterday would be tough for me.  I've only been back running for two months after two months off while I was treated for some heart and lung problems, and on Saturday, I ran our club's 10km race in 44:01, 3:30 faster than on the same course a month ago.  I hoped, rather than expected, that the 10km hadn't taken too much out of me and that by walking the steeper hills I would cope with the 47km Brisbane Water Bush Bash.

One of the smaller hills on the Bush Bash.
A week or so ago, Terrigal Trotters was contacted by the producers of a television program, Search4Hurt, to ask whether we would take one of their rookie ultra trail runners on a 40-50km run to gauge his preparation for The North Face 100km in three weeks time.  I suggested the Bush Bash because it was easily accessible in a number of places to film progress, and enlisted some friends from the club to accompany him.  As a point of pride, I wanted to do the run as well, perhaps hoping that the rookie wouldn't be that fit and I could hang on.

Misty views over Brisbane Water.

The run started with a brief on-camera interview about Terrigal Trotters and then we were off on a drizzly, misty and overcast morning for the first bike path section.  Sadly, my quads were very heavy from Saturday's run and my early pace was slow.  The leaders, including the rookie, disappeared into the distance.  I caught them at the first fire-trail junction, 8km into the run, but only because they were waiting.  Thereafter, I managed to stay in touch with the group, partly because I was moving a little better, and partly because my colleagues occasionally waited a short while for me to catch up.

The course is a real mix of terrain.  There are scenic, but boring and hard-on-the-legs, flat bike path sections, and some short road sections, but most of the course follows fire-trails along the mountain crests surrounding Brisbane Water, including very steep ascents and descents.  The intermittent rain combined with low cloud and mist made for some great scenery and atmospheric forest.  There's nothing quite like the eucalypt forests in rain and some of the views, with forested ridges interleaved with low cloud, were breathtaking.

One of the steep descents on the
Bush Bash.

The company was good, but I gave up on trying to keep up with the bunch after 26km and drifted back to run on my own.  I suddenly felt very fatigued and slowed to a plod, wondering how I was going to manage another 20km.  Fortunately, the rookie, who had found $70 on one of the trails, bought us all a drink at the South Kincumber store (they waited for me again!), and the Coke revived me a little.  I told them not to wait for me any more, and they quickly disappeared on the steep climb up Kincumba Mountain.

One of the bike path sections on the
Bush Bash.

I expected to be on my own for the last 15km, but instead developed a symbiotic relationship with Kirrily, who had not run the course before.  I tried in vain to keep up with her, causing me to run more than I would have otherwise, and she had to keep stopping at junctions, unsure of the way, to wait for me to catch up.  This worked well until the final descent, with just 2km to go, when I started to lose my equilibrium and couldn't do more than walk most of the time, taking great care on the steep descents and stairways not to fall, and cursing the unreliability of my muscles.  There was a background concern in my mind that my problems were heart-related, but it was beating regularly, and my blood pressure seemed OK.  Kirrily was concerned, but I was still thinking clearly and was confident I could finish.  I told her to go on ahead.

Another steep descent on the
Bush Bash.

I finished safely in six hours, about an hour slower than my best, and even managed to jog the last few hundred metres.  The TV guys, who wanted to go home, asked for another short interview with the rookie and me.  I was a little worried I would fall over, and hoped I was making sense.  Towards the end, I noticed Kirrily gesturing towards my feet in the background and looked down to find my shoes seething with multiple leeches looking for a feed.  The cameraman got a last close-up of the predators before I adjourned to a wet park bench and began trying to pick them off.  It took some time, but I was lucky and none drew blood.

The run definitely tested my current fitness limits, but it was satisfying to finish with all body parts, except for my very painful right Achilles tendon, in working order.  It will take me a few days to get over it, and I tossed and turned in bed with aching feet and legs last night, but when I do I will be stronger for the effort.  For today, I just walked an easy 5km.

Quandary

The Terrigal Trotters crew at last year's
Macleay River Marathon.

It wasn't a big deal, but it's always good when a plan comes together.

For most of the past week I have felt stiff, sore and lethargic.  My right Achilles tendon has been particularly painful.  I have been paying the price for last Saturday's harder run, particularly the fast downhill technical sections, and Monday's 25km trail run.  Knowing I wanted to run the ANZAC Day run yesterday, the 10km Handicap today, and the 47km Bus Bash tomorrow, I decided after Monday to maintain my regular running routine this week, but to avoid pushing the pace, to run on roads and to tie my shoes more loosely.

Even surfaces and straight line running impose less strain on the Achilles, as does a slightly looser shoe, and the no pressure running was designed to address the lethargy and stiffness.  Even yesterday, I didn't feel that good, though there were some glimmers of better form near the end of the run.  But today, from the moment I started my warm-up, I felt looser and fresher, and my Achilles was the best it's been for five days.

Getting my timing chip removed after
last year's Macleay River Marathon.

Four weeks ago, on the same course as for today's 10km run, my time was 47:36.  My allocated handicap time today, based on performances last year before my heart and lung problems, was 44:00.  This ruled out any chance of a podium finish, which was a good thing. It eased what would otherwise have been self-imposed pressure to run as hard as I could.  Instead, I started the run believing that any time between 44 and 47 minutes would be good and was very happy to finish right on 44:00 after a slow start.  The plan had come together, though I still have to survive tomorrow's 47km Bush Bash.

After the run, a friend was talking about the Macleay River Marathon which is on in six weeks time.  Last year, fresh from three weeks of hiking, I ran quite well for 3:24 without getting serious about the race.  I can hardly believe it, but I'm entertaining the idea of running it again.  Three months ago, I was wondering whether I would ever run again.  Am I being stupid?  Today's race, not taken seriously, resulted in a reasonable time for my age.  With a few more miles, and a few less kilograms, it's reasonable to think I could knock a few more minutes off the 10km time and run a comparable marathon time to last year.  But am I pushing too hard?  I don't feel like it, my heartbeat has stayed regular, and I am healthy.  Perhaps I should just treat the Atrial Flutter episode as a bad memory and get on with my running life.

Leon's Run

Yass Golf Club.

No running yesterday, just the drive back to Copa from the mountains with a stop for nine holes of golf at Yass on a beautiful day on a very pleasant course.  I knew I needed time to recover from Thursday's longish trail run and have found that an easy walk of five kilometres or so (even if punctuated by some terrible golf shots) is a good way to work out some of the stiffness.

It's confronting, in my sixties, to compare how long it takes to get over a long hard run these days compared to thirty years ago.  There was always fatigue and some stiffness the next day, but these days I'm practically immobile when I first get up, walking extra carefully and slowly downstairs and limping to avoid undue stress on damaged joints.  I sometimes wonder if it's a portent of life in my eighties, if I make it that far.

Glimpses of Gosford from atop Kincumba Mountain.

On the other hand, it's gratifying and often surprising to find how much improvement comes with just a day's rest or easy walking.  The thought of running yesterday had no appeal whatsoever, while today I was keen to see whether the improved strength I felt running up hills on Thursday was real or imaginary.  Although still moving gingerly after my 4:30am rising, I had confidence based on experience that once I started running I would loosen up and feel fresher.

Part of the level fire-trail atop
Kincumba Mountain.

Today's Terrigal Trotters run was the popular 14.7km "Leon's Run" from the beach to the top of Kincumba Mountain and return on a mix of road and fire-trail.  I think it's popularity stems not only from the sense of accomplishment in running to the top of the mountain (and the ensuing exhilarating descent), but also from the contrasts it offers en route - starting from the surf-lapped beach, often in the dark, and traversing sleepy suburbia to reach the forests of the mountain in the early light.  It's a serious climb, but then you get to enjoy three kilometres of  relatively level running to the turnaround point and back along the mountain crest during which you get to say hello to your clubmates travelling in the opposite direction.  If you're having a bad day, you get to see how far they are in front and who's catching you, and if you're having a good day, you get to impress those following and see who in front might be caught.

I had a good day today, considering the past four months, despite wondering a couple of times whether I could sense undue pressure in my chest during the harder parts of the ascent.  Each time, I backed off just a little so my breathing didn't become too laboured, but suspect it was just my imagination.  I definitely ran my best since the heart and lung ailments of Christmas, though there remains plenty of room for improvement.  The tank was empty for the last few kilometres.

Minor disappointment

Descending into Erina Valley along Worthing Road.

I'm far from fit, and suspected I would find the Terrigal Trotters run this morning hard.  The 11km course, Fragrant Gardens/Erina Valley, has some significant hills, as do most in this area.  I have felt lethargic and unfit most of this week, for no particular reason, so I ran 1.5km for a warm-up in the futile hope of generating some enthusiasm and form.

Despite the warm-up, I was still near the back of the pack as the 100 or so runners left the Terrigal Surf Club car park, and only started passing a few people when we hit the first significant hill a few kilometres later.  I felt like I was struggling, but still managed to pass a number of clubmates on the climb and picked up some momentum over the crest.  I tried not to think about how strongly I have run the Terrigal Drive hill in the last few years.  It has just the right gradient to permit fast running all the way to the top if you are in shape.

Hastings Road always presents
some challenges.

Just as I was anticipating reeling in a few more people as we descended into the Erina Valley, I rounded a corner and felt a sharp pain in my right hip and shooting pain in my right "glute".  After another 100 metres, with the pain persisting, I decided it was wise to stop and do some stretching to see if I could ease the pain.  It felt like a trapped nerve, but maybe not.

Of course, a number of friends catching me from behind while I stretched and walked expressed concern that I had a recurrence of my lung or heart problems.  I explained that, happily(?), it was just a run-of-the-mill running injury.  I resumed running, with less pain, after a couple of minutes and pretty much jogged the remainder of the course.

It doesn't feel like I have torn anything, but I will take it easy for a few days to let any inflammation settle down.  Sharon and I are spending most of next week in the foothills of the Snowy Mountains, and I have been looking forward to some nice long trail runs on parts of the Hume & Hovell Walking Track I hiked this time last year.

Returning to the scene

Crossing Mangrove Creek early in
today's run.

Perhaps irrationally, I was a little anxious about today's long run because it involved returning, for the first time, to the place where I think my serious health problems - Deep Vein Thrombosis (DVT), Pulmonary Embolism (PE), Atrial Flutter (AFl) - began sixteen weeks ago.  I was running the 25km version of the Dubbo Gully loop today, not the 30km version of that day, but the weather promised to be humid again.

Dubbo Gully.

The first thing I did was make sure that I was well-hydrated before the run and that I had another sports drink waiting for me when I finished.  My best theory is, that back in December, I completed the run dehydrated and didn't drink much afterwards before having a post-run nap.  Vein damage from my chronic right knee injury, exacerbated by dehydration and low blood pressure, caused clotting (DVT) some of which ultimately found its way to my lungs causing a PE.  The lungs lost function and placed excessive pressure on my heart, generating debilitating AFl over the subsequent week.  You've heard it all before, if you are a reader of this blog.

Dubbo Gully wetlands.

Anyway, despite taking the extra precautions, I remained somewhat anxious.  The run, with Sharon and some friends, started slowly down a very long descent, and I hung back, still a little stiff and sore from yesterday's run and not wanting to strain.  I never pushed the pace, but after warming up, gradually drew away from the others on the long climbs later on the run.  Despite sweating a lot and working hard, so far as I could tell, my heart continued to beat regularly.  Both knees hurt, particularly down hills, and I cursed the extra three to four kilograms I'm carrying - so easy to put it on and so hard to get it off.  I feel sure, that without the extra weight, I would be running faster with less knee pain.  Hopefully time will tell.

Almost finished.

The course finished with a steady 3km climb, which is always tough, but pleasingly I managed to run the whole way.  My time of 2:43 was slow compared to the 2:58 run in December for the 30km version, but not that bad.  I drank and kept moving after the run and don't feel like I have damaged myself in any way.  It gives me increased confidence that the bad times are behind me and I'm looking forward to my next Dubbo Gully run.

Not competing

Leading a 1500m Interclub event at Doncaster,
Victoria, in mid-1980s.

It's hard not to be competitive when you have been for your whole life.  Today's Terrigal Trotters 10km Time Trial was to be a test of my newfound resolve not to get competitive in the wake of my recent lung and heart problems.

Only a month ago, I had declared that I wasn't going to run any races for the next six months, at least, while I educated myself through experience about what I could and could not do.  That education is happening, faster than expected.  I'm not nearly as concerned now, when I head out for a run, as I was a month ago when I was anxiously self-assessing during and after each run.  Confidence in my heart health is growing with every safely completed run, though I still take my pulse multiple times each day to check the beat is regular and the rate low.

When I run a little further or harder, such as for last Sunday's long trail run, or today's 10km race, I'm gently pushing against the edge of my fitness envelope, putting a little more strain on my cardiovascular system while recognising that my musculoskeletal system also needs time to retrain after several months off.  Each time I push that envelope edge out a little, I gain confidence and am less anxious next time I run the same distance or speed.

Today, I started out with a gentle 3.5km warm-up around the same loop I had warmed up on for my last Trotters Time Trial at the end of December.  Vivid memories of breathlessness and heart palpitations on the first hill of the warm-up that time gave me a good benchmark against which to measure my current health, and it was pleasing to negotiate it, and the remainder of the warm-up, comfortably.

When the race itself started, at 6:00am, I eased into it, determined not to run faster than was wise, and watched the leaders disappear rapidly into the distance as even the slower parts of the field drifted past me.  I was expecting to be near the back, but it was still hard to watch friends who were unlikely to run faster than 50 minutes, slowly draw away.  I told myself to suck it up and keep running easily.

A couple of kilometres into the race, I began to feel more comfortable (how come I didn't feel that way from the start, having done a reasonable warm-up?) and to slowly catch some of the people who had passed me earlier.  Once that started to happen, I had to keep reminding myself not to consciously chase people down, but to keep my focus on maintaining a good rhythm with relaxed breathing.  Of course, I was only partially successful, and derived some competitive pleasure from slowly reeling people in as they emerged from the pre-dawn darkness ahead of me.

Approaching the turn, it was sobering to see how far I was behind the leaders, but I tried not too dwell on it.  Instead, I focussed on some of the people who were not so far ahead and who I might be able to catch if I maintained my present pace and form.  Among them was friend, Bruce, who had left me for dead on last Sunday's long run and would not want me to catch him today.  I concentrated hard on keeping my breathing and pace steady, but had a couple of moments on short rises where I may have detected some pressure in my chest, and backed off the pace a little.  It's impossible to know whether such moments are minor heart flutters, or just chest discomfort from running harder for the first time in months.  On each occasion, I quickly returned to my rhythm and didn't really lose any momentum. I caught Bruce with a few kilometres to go and finished tired, but not exhausted, in 47:36, maybe a little faster than expected.

I have checked my heartbeat a number of times since and it seems to be strong and regular so maybe the misbeats were just my imagination.  Historically, my time was slow, but the chances of running near 40 minutes, as was my target four months ago, have probably gone.  However, it's reasonable to think I will run faster without increased effort, as I lose the four kilograms of extra weight I'm carrying and my musculoskeletal system tunes up, and that's some comfort.

Benchmarks

Near the start of the Avoca Steps.

Benchmarks can be useful in gauging your running fitness, and perhaps more importantly, signalling possible problems.

These days, I tend to judge fitness by the time taken to run a regular course, and how I felt doing it.  In earlier days, I often used a time trial on the track, or something like the average times achieved running multiple 400m repetitions in a track session, as guides.  They're not foolproof methods, and subject to the vagaries of small sample sizes, but if a benchmark is achieved it gives you confidence that your training is going to plan and that, in turn, gives you the confidence to go for the time or place aspired to in your target event.

More of the Avoca Steps.

I have also employed benchmarks to gauge the seriousness of an illness or injury.  One sort of reverse benchmark I used for years was that if I was too ill to run, then I was too ill to go to work.  Of course, I never wanted to miss a run, and never had any really serious ailments, so never missed a day of work.  However, I probably infected many work colleagues with colds, and occasionally, influenza over those years.

Further up the Avoca Steps.

Running a much slower time for the Terrigal Trotters 10km Time Trial at the end of December last year (56 mins instead of the 44 mins my fitness level indicated), alerted me to health problems later diagnosed as Deep Vein Thrombosis, Pulmonary Embolism and Atrial Flutter.  Now that I'm on the road to recovery from those conditions, I'm very attuned to sub-par training runs, anxiously analysing them as possible indicators of health problem recurrence.

The final section of the Avoca Steps.

Several of my local "garbage run" courses, have very steep climbs that I almost always run up, regardless of fatigue.  In fact, the only times I have failed to run up them is when I have been ill.  These are my current benchmarks.  One of them is the "Avoca Steps", which is actually a series of flights of steps and footpath climbing about 80m over 500m.  It's always a test to run up them, no matter what the speed, but I almost always do.  This morning, however, as I approached the base of the Steps, 7km into my morning 10km run, I just couldn't face the thought of running all the way to the top.  Ultimately, these things usually come down to mind over matter, and there have been many times on this hill, and others, where I have just refused to stop running and taken it a step at a time all the way to the top.  I have prided myself on my ability to do this, and attribute my relative strength running hills to my refusal to shirk them in training.  However, my recent health travails are fresh in my mind and the worst effects were brought on by running, and sometimes just walking, up hills to the point of serious breathlessness.

This morning, my rational self won and I walked up the Avoca Steps, but it hurt my pride and worried me some.  I can't put my finger on a single problem, but can think of multiple reasons, none of them individually important enough to explain my excessive fatigue.  For the moment I'm assuming that it is the combination of these factors - lack of fitness base, a total of 45km solid running on the weekend, and a head cold that is now beginning to affect my chest - that explains my troubles this morning.  However, if the fatigue persists through to the weekend, I'll be considering whether another visit to the doctor is required.

Cautious optimism

Part of the trail loop in Chiltern-Mt Pilot
National Park yesterday.

Yesterday was another day spent driving, this time the 1,000km back to Copa from Melbourne.  Even though it was supposed to be an easy day, I felt compelled to stop in at the Chiltern-Mt Pilot National Park en route to run a favourite 9km hilly single-track bush trail loop.  It's about three hours north of Melbourne, so is well-timed for a morning run after an early start and helps break up the journey.

McMasters Firetrail on this morning's run.

I ran very slowly, particularly at the start, and enjoyed the quiet bush solitude, disturbed only by some bird life and a few startled wallabies.  My legs were tired after Sunday's 15km, but not too bad, and I finished comfortably and refreshed.

Cockrone Lagoon on this morning's run.

My current training plan is to run longer every second day, with an easy day in between, so long as I feel my heart and lungs are good and I don't get over-tired.  So, for today's run, I again cadged a lift from Sharon to her school and then ran a somewhat circuitous 19km route, maximising the bush content, back from Erina to Copa.  It was yet another perfect day and I felt remarkably fresh as I negotiated Erina Valley, Kincumba Mountain and some of Bouddi National Park.  I ran up all of the hills, some of them quite steep and technical, but never pushed the pace to the point where I was gasping for breath.

I'm definitely fitter than a month ago when I resumed running after my two-month break, and I feel like my lungs and heart are functioning well again after the Pulmonary Embolism and Atrial Flutter scares.  I'm starting to enjoy my running again, and particularly, my ability to run longer distances on the trails.  The question now is how much further my fitness can improve and how much I can push it?  And how much is it safe to push it?  For the moment, I'll keep it "recreational".

Six Foot Track

Six Foot Track.

It's been hard not to be a little despondent today.  This morning, while I was struggling around the Trotters 16km Matcham Valley course at not much better than 6 minutes per kilometre, the Six Foot Track 45km race was starting from near Katoomba in the fabulous Blue Mountains with many friends in the field.

Blue Mountains.

Just three months ago "Six Foot" had loomed large in my training plans.  Apart from being a very challenging course in a beautiful environment, it's popularity with runners from all over Australia make it a benchmark race to see how good you really are.  I would have loved to run it in my heyday when my marathon speed combined with trail-running experience (in training) and strength on hills would have made me a podium contender.  But that's easy to say now.  Thirty years ago, there were few trail races and they were seen as something of a novelty event.  Marathons were everything to me, and I would never have targeted and trained for a specific trail race.  Even now, it's rare to find Australia's best marathon runners contesting trail races.  The reality is that, even if Six Foot had been a big race thirty years ago (it was just starting out), I probably wouldn't have run it anyway.

Six Foot Track.

Nowadays, my attitude to trail racing is different.  And three months ago, I was hoping to get a podium finish in the 60+ age group today, and maybe threaten the age group record.  I have come close in the past.  But it wasn't to be.  Health issues intervened and I must consider myself lucky to have been running anywhere today.  Nevertheless, I'm envious of my friends who are running and can't help wishing, as I write this, that I was making that helter skelter descent on the scary single track to the buzzing finish at Jenolan Caves, with legs begging for mercy and the prospect of a good time and post-race glow just minutes away.  Running just doesn't get any better than that, and it makes me sad to think I may never experience it again.

Changing expectations

Bouddi National Park coastline.

I can already sense my mindset changing, and much more quickly than expected.

When you can't run, you tell yourself you will be satisfied with just being able to jog 5km a day.  When you get to jogging 5km a day, you tell yourself you will be satisfied if you can just run 10km per day, with the occasional long run.  And so it goes.  Before long, you will just be satisfied if you can get back to the fitness level you enjoyed before sustaining the injury.

Lovely single-track in Bouddi
National Park.

This has always the pattern for me when dealing with a serious running injury, but somehow I thought the life-threatening health scare at Christmas might lead to an attitude change.  In some ways it's frightening, and in other ways comforting, to find that, post-injury, little has changed.  Scary, because it worries me that I'm not paying sufficient heed to the risks of reversion to heart arrhythmia and the impact that may have on my future quality of life.  Comforting, because it's good to know that my problems haven't changed me that much.

The fire-trail down to
Little Beach.

I made it around the 14km Trotters run on Saturday (see post titled Looking up) with no apparent ill-effects.  After two subsequent easier running days, I asked myself this morning why shouldn't I run a bit further today, and maybe hit one of my favourite local trails.  Part of my reasoning related to the psychological boost I would get from returning to my usual running haunts, and part of the reasoning was that the further I ran in training, the sooner I would regain fitness and the easier running would become.

The more I run, the less focussed I am on my heartbeat and breathing.  I'm finding that a conscious decision to run within myself is sufficient to keep my breathing controlled and my heartbeat within comfortable limits.  I'm wearing a heart monitor now for my runs and it confirms that my heart rate is averaging around 150bpm during runs, reaching a maximum of around 160bpm.  It seems to me that, though getting my heart rate higher would accelerate my return to fitness, I will still benefit from longer easier runs, healthwise and weightwise.

Little Beach this morning.

I ran about 13km today along trails to the deserted Little Beach on a warm and sunny morning.  I walked up the steepest hill, and stopped a couple of times for views and photos, but still worked up a very good sweat.  On the downside, my chronic right knee injury was quite painful at times.  It doesn't seem like the time off running, during which it was not painful at all, had done it any good.  But the pain is a price I'm happy to pay just to be running again.

Ouch!

Not good news!

After two months of no running, and despondency about my health problems, I know I have put on some weight.  The shorts are a little tighter, as are the T-shirts, and I can't see as many ribs in the mirror.  Up until today, I had tried not to worry about it too much.  Dealing with health concerns and the inability to run were stress enough without beating myself up about my eating or weight (see my blog post about Compensatory Eating).

On Saturday I managed to run 14km, and have now run every day for nearly two weeks.  Although not out of the woods, health-wise, it's time to get back to normal.  "Normal" includes weighing myself regularly and trying to stay at, or below, 68kg.  Not only do I feel healthier at that weight (and my clothes fit better), but it reduces the chances of injury.  I do have a chronic right knee problem (see post titled Adaptation), and it has been quite sore since I resumed running.  I firmly believe that weighing less will alleviate some of the strain.

Much faster and lighter at Croydon in the UK in 1975.

Anyway, after my run this morning, I stepped on the scales for the first time in over two months - 74.0kg!  It was demoralising to see this number, and a big wake-up call.  Even though I can't run the kilometres I would like, I can exert more discipline over what I eat.  It's time to get back onto my "no snacks, no desserts and no second helpings" diet with small breakfasts and lunches.  Occasional treats will be allowed, but I need to be much more strict overall.

My 5km run was a little faster and more comfortable this morning, though my right knee hurt and I'm still running slowly.

Looking up

Erina Valley is part of Woody's Wun.

The Terrigal Trotters Saturday morning run this week was the 14.2km "Woody's Wun".  Coincidentally, it was the last Trotters run I did while still fully functional, back in mid-December.  It was also 6km longer than my longest run since resuming training nine days ago, and incorporated some very steep and long hills.  That made me (and others) quite apprehensive about whether I should be attempting it.  On the other hand, there was a sort of appealing symmetry if I could get around the run OK.  I wouldn't be resuming where I left off, because last time I ran quite hard and well, but just completing the course without incident would be a significant step on the road back in my mind.

I managed to fall over crossing these paddocks this morning.

I was last of the hundred or so runners climbing the first rise away from the Terrigal Surf Club, but that was a good place to be, and pretty much where I stayed for the first few kilometres.  Despite constantly self-assessing my respiration and heartbeat, it was a great pleasure to be running along in the pre-dawn darkness bantering with my club-mates again.  There have been times during the last two months when it seemed possible those days were over, and probable that the hiatus would be much longer.

Woody's Wun goes right through the Erina Fair
Shopping Mall.

On each of the solid climbs in the next two kilometres, I slowed to a walk with some of my colleagues, only resuming when the gradient eased.  Normally I would never walk up a hill during a Trotters run, but my expectations have changed, at least for the time being.  They were the kind of hills that would have brought me to a staggering halt with a heart rate of 230bpm before the Cardioversion eighteen days ago, so it was encouraging to get up them comfortably.  From there, I ran the whole way, apart from climbing a few fences and one fall while crossing a paddock.  I particularly enjoyed the steady slow climb up the side of forested Kincumba Mountain along a very technical kilometre of single track and the gentle descent which followed along a beautiful fire-trail.  Magic!

The fire-trail on Kincumba Mountain.

I even caught a few people over the last half of the run, as I settled into an easy unstressed pace, but had to keep reminding myself not to get competitive.  This will be one of my challenges going forward.  Although there were still some aches and pains, particularly in the knees, I was in better shape than a few days ago, and really enjoyed the run.  May there be many more!