Monday, May 08, 2017

From snow to 85 to severe thunderstorms

 It's spring in Colorado, and the weather is all over the place. "If you don't like the weather, wait 15 minutes" is an observation that's been flogged to death again and again, but the schizophrenic skies are still a source of entertainment. On May 3 we had a lovely snowstorm, illuminated by flecks of sunlight. I stood on the porch in my bare feet for at least ten minutes, mesmerized by the dance of sparkling snowflakes.

These poor daffodils. They were completely buried by 14" of snow just four days prior. They emerged on Monday only to be pummeled again on Wednesday. I'd feel guilty for not protecting them from the storms, but they seem to bounce back just fine.

 May greenery and fresh snow — one of my favorite color combinations.

 By Saturday — three days later — temperatures spiked well into the 80s. Beat and I lathered up in sunscreen and headed out for a mountain bike ride. We stopped to admire the elk grazing in the elk pastures ... except these aren't domesticated animals.

 During the five-hour ride, we spent upwards of two and a half hours stumbling along ten or so miles of trails in the Blue Dot trail system. Beat was actually the one coaxing me away from the bail-outs as we both mused about how great these trails would be for running. There's certainly some beautiful segments for cycling, too — ribbon singletrack, tight switchbacks, roller-coaster descents. But like most Boulder trails, the beautiful segments are frequently interrupted by crumbling chunder gullies, root steps, unrideable rock outcroppings, and occasional severe erosion. There's little flow for a cyclist like me, who really prefers flow to being not-so-gently flogged by choppy terrain. I've joked with Beat that I'd happily turn in my mountain biker card if it meant I could ride ribbon singletrack and fire roads all of the time. However, I live in Boulder, so I'll likely continue to chip away at my flaccid technical skills.

 At least Blue Dot has hike-a-bikes with views. And the technical puzzles do distract from the heat. I'll have to remember this come July.

On Sunday we hoped to complete a long run, but lounged around for far too long and set out just as dark clouds were gathering overhead. It's getting to be that time of year where afternoons are not the best time to play, but it always takes a few hard lessons to adjust winter habits. As we climbed toward Bear Peak, an opaque gray wall obscured everything to the south. The cloud was approaching us at alarming speed.

"We're going to get pummeled," I said to Beat. Not really taking my own definition of pummeled seriously, we continued to climb. Within five minutes, sharp hail was raining down on us. We scrambled to cover up with our meager spring layers — I had a fleece beanie, but a woefully thin three-ounce wind jacket. Beat had a better jacket and gloves, but no hat. We still didn't think it was so bad, so we continued to climb into the deluge. When switchbacks turned into the wind, I couldn't even breathe through the gales. A chill rapidly deteriorated into vigorous shivering. My core was very cold, and my calves hurt from the hail stings. Then Beat saw lightning. We abandoned the "long run" plan and made a hasty retreat.

More severe thunderstorms were in the forecast today, so I rallied out the door before 9 a.m., hoping to complete one last medium-length run before Quadrock on Saturday. Quadrock is a trail race in Fort Collins that I signed up for months ago, back when I still thought I'd be riding the Idiatrod, so I put my name down for the "half" (25 miles.) After the thyroid diagnosis I figured there would be no racing this spring, but I've been feeling so good lately — so much better than I ever felt during the winter. My lab numbers are approaching normal, so the risks are diminished. And it's only 25 miles. Some of my weekend fun runs have been nearly that long. Why not?

The thing is, I am really nervous about the prospect of racing. My last race (January's Fat Pursuit) was a grueling failure. I haven't even started a foot race since January 2016. Quadrock has reasonably tight cutoffs, and they don't allow trekking poles (how will I stay upright without my running crutches? I don't even know anymore.) And now Beat has a knee injury that will likely prevent him from racing the 50-mile version of Quadrock. I'll be all alone out there! (Well, just me and the other 264 entrants in the 25-miler.) Anyway, I am weirdly wound up about Quadrock. I just want to finish the race, and not face-plant ... at least not in a way that will prevent me from finishing. And if I can't finish, ugh. I don't even want to think about it.

But I do want to start. The route I chose today had 4,200 feet of climbing and an equal amount of descending in a measly 11 miles. It was quite technical for "running," and I mainly wanted one more good practice on steep descents. The final descent proved that I actually have put in some good training over the past five weeks. My first runs back from Alaska were punctuated by plenty of soreness, but today my legs felt fresh as I picked up the pace for the final mile home. Just as I walked in the door, rain started to pelt against the windows. I'd escaped the storms entirely. One hundred percent success. 
Friday, May 05, 2017

In spite of the scars

Like many people, I tend to carry scars from my life's more intense experiences, both good and bad. The physical scars accumulate on my arms and legs — pink, sensitive spots that hurt every time I whack them, and take longer and longer to heal every time another crash opens them anew (my poor right elbow is such a mess.)

The emotional scars are similar; I can trace an my ongoing fear of water all the way back to visceral memories of a misguided wander into "Amazing Mumford's Water Maze" at Sesame Place in Texas, at the age of 3. My latest addition to the irrational fear basket is snow slides. Last weekend, when Beat and I went hiking through the rapidly melting snow around Walker Ranch, I became startled by snow sloughing of the rocks and had a real panic reaction — heart racing, nervous shivering, eyes darting around. It's annoying enough that I can't deal with putting my face under water or riding in small boats; now I'm afraid of the most benign instances of falling snow?

Then there are the scars that aren't really fears, just unpleasant associations. Near the top of this list are memories of the 2015 Tour Divide. Whether the association is rational or not, on an emotional level, I blame my health issues on this specific experience. The short of it is that I came down with bronchitis during the race, and pushed through it anyway for two weeks as I became increasingly more ill. After that, it was as though a switch flipped. My body was different. Even before I understood that I have an autoimmune disorder — which are thought to be sometimes triggered by assaults on the immune system — I felt the Tour Divide was a sharp line between the changes in my health. Of course many things about my lifestyle and genetics could have made the difference, and it isn't rational to pin everything that's happened since on a single event. Regardless, the anger is here to stay.

Now I imagine grinding along those mountain roads, and viscerally feel as though I'm choking on dust, and my head weighs a thousand pounds, and I stare blankly toward beautiful horizons, only see a bleak kind of vacuousness. I recently realized that these poor associations with the Tour Divide have made me less inclined toward what is objectively one of my favorite things in the world — riding my bicycle through scenic landscapes.

I thought about this strange association as I suited up to go for a ride on Thursday, my first in nearly two weeks. Earlier in the week, my excuse for bike avoidance was my left knee, which was still stiff from the previous week's crash. It had taken about this long to achieve full range of motion without pain. Of course I ran 16 miles through mud and slush and a lot of downhill on Monday, and my knee was fine then. But still I didn't want to ride my bike. Weird.

However, I made a commitment to meet Beat after work, and mapped out an intriguing new route on forest roads above Nederland. The forest roads were still too covered in snow to do much more than stumble along at 0.5 mph as my shins were cut by icy slush (and I only bothered to do this for ten minutes, mainly out of desire to cool my feet and sunburned legs.) For the rest of the ride, I felt strong. Really strong. I mashed the pedals up Caribou Road with sweat pouring down my back and lungs full of fire. I'm still afraid to push truly hard — bad associations with asthma attacks that may take a while to diminish yet. But wow, I felt incredible.

Perhaps I don't have to be scarred for life by the 2015 Tour Divide. Perhaps I can even go back to that route someday, and restore the wonderful experiences of 2009. Perhaps Beat's insistence that it's possible to manage Grave's Disease and "make Jill great again" holds some weight.

Or maybe it was just a good ride amid the ongoing, body-and-mind-thrashing rollercoaster that is life. I'll take it. It reminded me of the lyrics from "Home" by Field Report:

"The body remembers what your mind forgets. 
Archives every heartbreak and cigarette. 
And these reset bones might not hold.
Yeah, but they might yet."
Sunday, April 30, 2017

This really is post 2,000

If this blog were a child it would be in middle school right now, so it's probably not surprising that it has managed to amass 2,000 posts. But it seems like a milestone worth noting. Every once in a while I start typing in this space and ponder what it is, after all these years, I'm still trying to accomplish. The reasons I started the blog — to post photos, to connect with people online, to keep in touch with family and friends — all fall into the realm of social media now. I still enjoy writing long-winded (we journalists like to use the phrase "long-form") adventure reports, so I'm unlikely to dump the blog anytime soon (at least not before its high school graduation.) And I do need a place to post photos, because I will never join Instragram, never never, don't ask me again. 

Interesting, I've recently received a steady stream of requests from random PR people for gear reviews, sponsored posts, even a junket or two. I'm at a loss for why these started now, when this blog  has never been a gear blog, is far less popular than it was eight years ago, and the medium in general is about five years dead. "Jill Outside" must have ended up on some type of marketing list. Although I have to say no, I find it amusing nonetheless. This just isn't a commercial blog.


 This weekend, most of the Front Range was slammed by a frigid storm that raged for much of Friday and Saturday. Because it's so late in April, everyone treated the snow like an anomaly, but I have Facebook's "On This Day" feature to remind me otherwise. This storm was reminiscent of our first week in Boulder, except for we now have actual furniture to snuggle into, and a huge stack of firewood in the garage (last April we scrambled to chop downfall in the yard.) Yes, it's just Colorado's boring-old, annual, "Nearly May Blizzard."

My fatigue rollercoaster, thyroid or whatever it maybe, has been on the upswing. I felt much more perky than I had earlier in the week. The only annoyance was my left knee, which I had so graciously slammed into a rock on Wednesday. After the crash, an odd goose egg rose out of the top of my kneecap, which had also been scrubbed of its skin. The whole joint was painful and didn't want to bend much, so I didn't bother bending it for a couple of days. I limped into my allergy clinic, and when the nurse saw my right arm — which also lost a fair amount of skin — she asked, "What happened to you?"

"I fell," I said with the upmost derision. "I tripped over a rock, and I went down." Then, to emphasize how disgusted I was with myself, added, "I don't take my falls so well. I'm not 20 anymore" ... forgetting, conveniently, that I earned the nickname "Gimpy McStiff" in my early 20s precisely because I couldn't take a fall then, either.

 I also remembered advice from my mom, which she repeated the many times I bashed my knee as a clumsy little kid — "If you don't bend it now, it's never going to bend."

"But it hurts."

"Well, it's going to keep hurting until you bend it. Now try."

On Saturday, as temperatures plunged into the low 20s, fierce wind and snow raged through thick fog, and more than a foot of snow covered the ground, I decided it was as good of a time as any to try.

 It was 23 degrees when Beat and I set out in the late afternoon for the usual route to Bear Peak. This is the most snow I've seen up there yet — despite climbing Bear well over a dozen times during the winter — and it's always fun to view the familiar in such drastically different light. I was limping, but as expected the swollen knee began to loosen up as we slogged our way up the snow-covered road. I put my snowshoes on to hike through the deeper snow on the trail. Beat did not; it was the only reason I was mostly able to keep up with him.

 The scenery just got better as we climbed, where the burned forest was covered in hoarfrost.

 Thick hoar near the summit.

 An eerie apparition of Bear Peak.

 Beat on the rime-coated rocks. The wind was howling and I'd guess the windchill was zero degrees, at best. It was quite the exciting place to visit on April 29. It felt like we were standing atop a jagged 4,000-meter summit in the Alps, not lowly Bear Peak.

 My knee took a bit of a beating while making the hard bends necessary to complete the steep, snowy climb, so I was rather grumpy during the descent. I was definitely in pain. But at some point you have to decide if something is "valid" pain — as in the kind of pain that warns you injury is inevitable — or "erroneous" pain — as in the kind of pain your mother told you to ignore, lest your knee lock up and never bend again. I decided it was probably the latter.

 According to the closest official measuring station, 14.5" of snow fell in our neighborhood during this storm. Despite the colder temperatures, it was heavy, wet spring snow, so there's a lot of water ready to soak into the grass over the next two days. This is good news for the fire season, although if we don't continue to see spring rain, it's going to be a long summer yet.

 After the hummingbird feeder froze solid, Beat brought it inside. On Sunday morning, he made new sugar water and returned it to the balcony. Since it's so early in the spring, we currently just have a pair of hummingbirds, a male and a female — as far as we can tell. But the two of them attacked the feeder the moment it was back. They didn't even wait for us to leave. I wondered where those tiny birds went to sit out that storm. Wherever it was, they sure did come home hungry.

 My knee wasn't much better on Sunday, but it wasn't worse either, so I set out to hike the Walker Ranch loop while Beat ran. I figured a foot of new snow that was rapidly turning to slush meant that neither of us would be breaking any speed records.

 I was rather grateful for the slush, as it necessitated a slow pace whether my knee was working or not. Still heavy, shin-deep snow requires some hard maneuvering. My knee will bend when I make it bend, but it's definitely not the happiest knee.

Despite the soreness, I was stoked to just be outside and moving through the world. Mid-morning bliss.


Mule deer were out and about, nibbling on all the fresh greens. The resident elk herd also bedded down near this spot last night, leaving behind an impressive mess. It was strange to see these signs of spring, even though they've been around for a while.

 My favorite view from Walker, looking through the window of Eldorado Canyon toward Denver. After 3.5 hours of knee-raising marches and trudging to cover 9.5 miles, my knee had loosened significantly and I felt no pain. But it only took five minutes of sitting to stiffen up again. I think the lesson here is to just keep walking. 
Thursday, April 27, 2017

Another crash

My physical self has become a stranger to me recently; I don't really "know" my body anymore. I've mentioned the energy rollercoaster, the good days and bad, not quite knowing how much of this is adjusting to thyroid medications, how much is fluctuations of hormones, how much is psychosomatic, how much is just "me."

On one hand, I've struggled with real fatigue — feeling more sluggish in my daily routine, blinking against sleepiness at 3 p.m., sneaking off to take actual naps, and setting an alarm so I don't pass out for hours. This happens despite full nights of sleep and better morning alertness. I've learned that if I want to accomplish something mentally taxing, I'm better off attempting it before lunch. Jill one year ago would give a side-eye to this zonked-out person I'm becoming.

There have been other symptoms that one might ascribe to an underactive thyroid — I'm often cold in the afternoon and have to wrap up in my down comforter, as the thin couch blankets just don't cut it anymore. My fingernails are effectively falling apart, my skin is even drier than usual, and I've started noticing a bit more hair loss than before (not significant enough to worry yet.) Still, the numbers from April 11 wouldn't indicate hypothyroidism, so I have to assume this is just part of the adjustment.

On the other hand, I'm becoming stronger. Three weeks ago, I started back at square one with twice-weekly weightlifting, and I'm already ahead of where I was after four months of focused training over the winter. And I'm much more energetic when I'm in "active" mode. If I want to battle the afternoon sleepiness (and I've managed to resist the temptation to take a nap), all I need to do is go outside and start running or riding. On Monday I enjoyed a relaxing yet strenuous five-hour, nearly-50-mile mountain bike ride through the foothills. On Tuesday I stole an hour-long window between hail and snowstorms to jaunt up and down a 10K dirt road run with 1,100 feet of climbing. Running downhill through shoe-sucking mud, I managed to kick it up to that low-seven-minute-mile pace that feels so exhilarating. I could not run like that two months ago. No way. I would have been a gasping, dizzy, mucousy mess.

On Wednesday, overnight snow gave way to blazing sunshine. I had things to do in town, so I set out for a quick morning jaunt up Sanitas. My new thing with the steep ascent of Sanitas is to vie for new PRs in "all-hiking" mode, and see if I can keep up with runners in the process. (I've come close.) A friend had just sent me a nearly new pair of Altra Olympus shoes in the mail, and I was trying them out. After the breezy ascent (new PR! 26 minutes), I started down the winding, runnable descent feeling particularly light on my feet. Seven-minute-miles were fresh in my memory, and I picked up the pace to something just fast enough to necessitate total focus.

What happened next might seem inevitable to those who know me, but it all happened in such a strange fashion. I put my left foot down and something didn't feel right, causing me to lurch forward with my right foot and catch my toes on a rock. The terrain was a rock garden on a nearly level section of trail, so there was nowhere to roll, although I'm sure more graceful folks would have managed this. Of course I went down like a dead fish, slapping the rocks hard, really hard, and tearing up my right elbow and left knee in the process. Blood was gushing down my arm and leg as I crawled several meters off the trail into a cluster of trees, as I'm always terribly embarrassed when I fall and hope no one will see me. Then I curled up into a fetal position, writhed, and hyperventilated for at least five minutes, because I was in quite a lot of pain.

After I started to come around, I fished through my backpack for wet wipes, finding six (lucky break; I needed all of them just to slow the bleeding.) Instead of continuing in the direction I was heading, which would have necessitated a four-mile hike, I turned to limp back down the mile-long steep part. This proved incredibly taxing. Some trail runners seem to bounce right back from their crashes, but I am not one of those. Perhaps it's my dead fish landing technique, but I felt like I had been hit by a car. I managed the steepest parts by effectively crawling backward, trying to avoid putting any weight on my left leg, although that was unavoidable. The descent took 75 minutes (contrast that to 26 minutes of climbing.) My face was scrunched up in pain, my joints were still gushing blood, and it was just misery. I'm somewhat familiar with this state — the curse of a clumsy person who both doesn't get better and doesn't give up — but that never makes it any easier.

Now I sit at home on an early Thursday afternoon, with the afternoon brain fog beginning to seep in, and too sore to do much about it. Maybe happily, the rain is pelting down outside, and I can still curl up in my down comforter and attempt a blog post to see if that jogs the creative energy. Hopefully I'll feel better tomorrow. 
Sunday, April 23, 2017

One year in Colorado

On Earth Day 2016, Beat and I loaded up our Subaru Outback with our most prized bicycles (and not much else), then rumbled onto I-880 eastbound out of San Jose. We passed through heavy snow over Donner Pass, the verdant hills of central Nevada, 75-mph crosswinds across Utah's salt desert, then heavy rain and snow across Wyoming. The terrible weather ended almost the moment we crossed the Colorado border. The famous 300-days-a-year sunshine was out, hillsides were green and the trees were bursting with tiny green buds and blossoms. I remember smiling at Longs Peak and thinking, "I will climb you first."

I still haven't climbed Longs Peak. But we have enjoyed one year in Colorado, living in the forested hills behind the Flatirons — a home between the cliffy edge of the Great Plains and the towering Continental Divide. We love it here. Our "Ugh, Front Range" friends crinkle their noses, but really, anything that's not to love here, the Bay Area had times ten. With the exception of "people who are better than you at everything," of course. Boulder's sheer concentration of smart, fit, successful people is staggering. Still, the crowds are smaller, and traffic is negligible (of course it's still annoying.) Yuppies are prominent, but still greatly outnumbered by genuine, interesting people that you want to get to know. There are a lot of white people here. I rank among them so I certainly can't criticize. I do miss the cultural diversity of San Francisco.

Of course there are other things I miss about California. Sometimes I think back to my favorite places — the Marin Headlands, Black Mountain, Old Tree — and feel heartsick for all the days gone by. But I lived in California for five years, and I can't say I ever felt truly at home there. Our apartment always felt like the place were we slept between travels. The Santa Clara Valley was a place where I went to the dentist and the doctor, where I bided time until we could move back to Alaska. Now that I'm in Colorado, I'll probably still bide that time ... but I feel more authentic when I call this place "home." It does help to live in a beautiful house in the ponderosa forest, a place where I can both act like the hermit writer that I am at heart, and jet to town anytime to have dinner with friends, visit my cozy, locally-owned gym, shop at Trader Joes, steal a few hours of work at The Cup, eat a salad at Mad Greens (I love that place.)

It also helps that Beat is much happier in his work in Boulder. At home he has so much more space for his engineering, sewing, and gear-making projects. I feel like I should make more efforts in the gardening department (meaning, more than none.) But allergies are still a concern (I had a serious reaction last year while pulling cheat grass and never tried it again, although I can wear a mask and cover all of my skin.) Still, I can't let go of the conviction that any time spent outdoors is best spent on the move. Luckily, the daffodils returned again this spring, the columbines and humming birds are on their way, and the natural landscaping is beautiful.

Boulder has been good for my medical needs, which have become surprisingly many in the past year. I appreciate the medical professionals I've worked with here.

And of course there are the adventure opportunities. I haven't climbed Longs Peak, and sometimes I feel almost guilty for my relative neglect of the nearby mountains. There's just a lot to enjoy right outside the front door.

Similar to our first week here, the early morning greeted us with a skiff of snow. Beat wanted to go for a long run this weekend, and had designed a route from our doorstep that racked up 6,600 feet of climbing in 18 miles, on the kind of terrain where uphills are the easy part (for me at least.) Sunday was supposed to be 75 degrees and sunny. Saturday was forecast to be 55 degrees with morning showers. I lobbied for running Saturday. ("That's good running weather," I argued. "Sunday's going to be hot and the trails will be crowded. Wait and see.")

 I knew as soon as I woke up in the morning that today would be a "good day" for me. This perkiness surprised me, because I had an allergy shot on Friday and felt awful, truly awful, for the rest of the afternoon. I almost backed out of the long run before bedtime, but decided to wait and see. My pattern remains unpredictable; some days I feel mowed down; others, I feel like a bird set free. Since I take the same medications and do most of the same things every day, there's no way of knowing which it will be.

 Saturday was a "free day." On free days, everything feels relatively effortless. It's not that I can do anything amazing, it's just that the ordinary stuff isn't a battle. We set out in steady "frizzle" (fog-drizzle) with patches of slippery snow still clinging to the ground.

 The frizzle began to clear and we made our way to South Boulder Peak. Delicate ice formations still clung to the burned skeletons of trees.

 We made the steep, rocky descent into Shadow Canyon, which caused my only bout of grumpiness for the day. But I perked up on the even steeper, rockier ascent of Fern Canyon.

 In between the canyons, we made our way along a scenic stretch of trail neither of us had traveled before. The air was cool and humid, and Beat raved about the rich aroma of resin.

 The always-pleasing view toward the Plains from Bear Peak.

This was a rare section of smooth trail that made me nostalgic for California, although looking at this photo, I realize that these trees are quite small. After seven hours we were home again, soaking in the satisfaction of a hard, yet "easy" effort. It was a nice way to celebrate one year in this place. My continued physical rollercoaster means I can't reliably do any type of real training, but I'm all the more grateful for these great days.
Monday, April 17, 2017

So this is spring

Beat and I are nearing one year in Boulder, so we've experienced all of the seasons in high country. Of all transitions, spring is usually the most difficult for me. The quiet darkness of winter dissolves into a kind of uncomfortable mania; previously empty trails begin to feel crowded; new smells and sounds barrage the senses. My typical allergy season creates new weights, and the crushing heat, dust, and fire of summer feel too close for comfort. 

And yet I do enjoy the ease of mild weather, watching green return to the hillsides, anticipating the return of the hummingbirds, laughing at the antics of wild turkeys and watching a herd of elk graze in the back yard. Wildflowers and daffodils emerge from clumps and brown grass. That uncomfortable mania also breeds excitement. "Something is going to happen! I don't know what, but good things are coming." 

Even as I say this out loud, a larger part of me remembers that the state of the world looks dire, and it's difficult to veer away from this urge toward despair. I'm still haunted by my experience with the avalanche last month; I see blocks of snow tumbling toward me in wisps of dreams, before I awaken to early morning light, golden and rich in the springtime. It's all so fleeting, all of it, and it's infinitely better to appreciate the present than fear the future.

 My physical state still stymies me. Now that my thyroid levels have dropped, I'm sleepy much of the time. I catch myself dozing off while waiting in the dentist's chair. I steal the occasional nap during work sessions. I'm tired at bedtime, and usually sleep soundly through the night, which is strange. Perhaps this is just the way 37-year-old me is supposed to be, a trait that hyperthyroidism shielded.

Still, when I venture outside, I often feel more strong and alive than I did during my best season, winter. If I want to beat the fatigue and sleepiness, all I need to do is get out in the warm spring air for a ride or a run. Tree pollen has been bad lately — something for which I only have a "mild" allergy, so I haven't been treated for it — and I can feel pollen clogging up my sinuses and irritating my eyes. And yet, I can breathe. Sometimes I wish I could immediately recapture all of my former strength, but I'll settle for breathing.


 And the elk are here. Beautiful animals to watch from the comfort of the living room.

This one seemed enamored with the goldfish pond. Probably because of the water or his reflection, but I like to think he too appreciates the hardy little fish.

 On Sunday, Beat and I went for a long adventure "run." I call it an adventure and "run" in quotes because much of the route, for me, was a series of stumbles and careful footing over the rocky trails of the Flatirons. If I harbor any ambitions for summer, they lie in the realm of hiking and running. I wonder what I can still do with this sleepy, perhaps over-medicated body of mine. So I've been running, perhaps too much, and not as fast as I'd like. But every step feels freeing.

 We hit up South Boulder Peak, Bear Peak, and Green Mountain. It was hotter than we expected, and we both had to ration water even after stashing some below Green. That caused a bit more struggling than necessary up the rock staircase known as Shadow Canyon. Still, despite believing I'd just completed one of the sloggiest slogs in my long history, I still set a "PR" for that climb. After 18 miles with more than 5,000 feet of climbing, my legs felt pretty spry, although my confidence had taken a hit after slipping and sliding too many times on loose dirt.

 I also used the weekend to redesign the blog, as you may have noticed if you're one of the few who still looks at this blog directly. I aimed to make it less cluttered and a little easier to navigate, as the thing nears 2,000 posts and becomes increasingly more unwieldy.

I also made a "best of" blog page, mostly for myself, to compile my favorite posts over the years. Scrolling as quickly as possible through 11.5 years of blog posts was an exercise in bewildering nostalgia — to watch it all slip by so quickly, and marvel at the sheer bulk of time that's passed. It's all so fleeting, all of it, and it's good to remember how much a gift every day has been. 
Wednesday, April 12, 2017

Thyroid update

On Tuesday I visited my endocrinologist to follow up on treatment for Grave's Disease after seven weeks on an aggressive dose of thyroid-blocking medication. The results were encouraging. I'm responding well to the medication. My T4 levels have reached the normal range, T3 is close, and while my TSH is still very low, it's normal for that to take several months to return. The doctor is keeping me on the high dose of methimazole for now, but seems confident that medication will be an effective treatment against my hyperthyroidism.

One of my main issues is the presence of Hashimoto's antibodies, which means I've probably been hypothyroid in the past, and likely will be in the future. Controlling thyroid disease will be a matter of managing this rollercoaster, and its unpredictability. That will likely be a lifelong battle regardless of which treatments I eventually choose.

"Lucky you," my doctor said.

Still, it's good news. And I have been feeling notably better. This post is a quick (boring, I know, but helpful to me and hopefully others) update on my health progress.

• Breathing — I haven't experienced any significant breathing difficulties since February. I have been much more conservative with my activity levels. But the last major episode happened while I was walking up my staircase at home, perhaps too fast, and felt my airways tighten in the way that tends to induce panic. That was two months ago. Whether these episodes are "asthma attacks" or something else, I still don't know. There's evidence of Grave's Disease exacerbating already-existing asthma, and there's also evidence of "air hunger" as a symptom of an overworked heart. I am reasonably certain that bronchodilators improve my breathing when I'm having an "attack," so I probably do have asthma in addition to thyroiditis. Lucky me.

• Allergies — I do (did?) have a severe allergy to grass that has become worse over the years, and seemed to ramp up exponentially when I moved to Colorado. I've been treated for this allergy with immunotherapy shots since October. In the past two weeks I've been receiving catch-up shots to which I have not responded well — swelling, itchiness, fatigue directly afterward. Spring is coming, which I'm not looking forward to. Hopefully the treatment will curb some of my hay fever symptoms, and I won't go through the allergic asthma that I was dealing with last summer.

• Exercise — I've felt noticeably stronger during the past two weeks, although I still have fluctuations in energy levels, sluggishness while running, and mid-day sleepiness. Overall, though, I am much *much* happier while exercising. My breathing is better, my head is clearer, I'm more relaxed, and there haven't been any major bouts of dizziness or anxiety. I also have yet to "push myself" into a hard effort — similar to my efforts during the winter, when I was desperately trying to improve fitness for the Iditarod. Staying conservative is still my plan. All of my workouts since Alaska have been hikes and runs — mainly because I'm scared of riding bikes. It's harder to control my effort level on the steep climbs around Boulder. Since diagnosis, fear of provoking a thyroid storm has made me obsessive about maintaining control of my heart rate and breathing. In Alaska this proved necessary, as I had particularly poor reactions to situations where I failed to control my efforts, as well as stressful situations. But as my levels drop, thyroid storm, asthma attacks, and other poor reactions become less of a threat. It may be time to start testing the waters again — slowly and carefully, of course.

• Muscle building — My thyroxine levels are currently in the normal range, which means I'm less likely to experience the "thyrotoxic myopathy" that causes muscle weakness and breakdown. People with hyperthyroid conditions tend to lose weight, but a fair percentage of that is usually muscle tissue. One of the reasons I'm likely beginning to feel stronger is this slowing of muscle loss. I renewed my gym membership and am excited to work on building endurance in the weight room.

• Weight loss — I didn't experience weight loss with Grave's Disease, and I have yet to see a gain outside my normal fluctuations. This is possibly because years of endurance racing taught me expert-level calorie replacement, so as I was burning up muscle, I consumed enough food to replace it with fat (just a theory.) Now that I'm approaching normal, I'm trying to be more cognizant about my calorie intake — fewer snacks, fewer dairy products, more fruits and vegetables. There's still a lot I can do to improve my diet.

• The hand tremors that I believed were a mild neuropathy (I had carpal tunnel syndrome last year) have almost entirely disappeared.

• The swelling in my thyroid gland appears somewhat reduced (although still noticeable.)

• My resting heart rate is down — I tend to see numbers in the high 60s and 70s rather than 80s and 90s.

• The frequent skin rashes that I believed were related to allergies haven't returned in a couple of months.

• I still have what I consider to be a higher-than-normal heat sensitivity, but I can't really expect that to go away since I've always been adverse to hot weather.

• Mentally I feel so much better. The dull, gray fogginess that I had been experiencing is becoming more apparent now that I'm beginning to come out of it. My mood has overall improved. I hope these clearer thought patterns will improve my writing efforts this spring and summer.

I think that's about it for now. Now I'm heading out for my first bike ride of the spring. Wish me luck!