Wednesday, March 11, 2009

One more rehash

Photo by Dan Bailey. Used without permission. Sorry, Dan.

I'm probably one of the few ITI participants who can stay in a race for all of 12 hours and still find a way to write 6,000 words about it. This is a column I wrote for the Juneau Empire. It seemed a good overview, so I thought I'd post it here.

"A unique cycling injury: Frostbite."

From a racer’s perspective, it was a perfect example of how a person can be on top of their game one minute and hip-deep in trouble the next.

From an adventurer’s perspective, it was a defining moment of hard reality amid months of hopeful preparations.

This is where I stood on March 1 at mile 27 of the 2009 Iditarod Trail Invitational, a 350-mile human-powered adventure race along Alaska’s most famous winter trail. It was my second year entered in the race as a cyclist. In 2008 as a rookie, I managed to land myself in plenty of troubling situations and still found a way to finish the race in a respectable time of six days, two hours. This year, I wasn’t a rookie anymore. I had made my mistakes and learned from them. I had a whole new batch of sweat-tested survival gear and a new outlook about my willpower and physical abilities. And on the afternoon of March 1, as I faced the seemingly endless trail where it launched from Knik Lake, I felt ready.

At 2 p.m., the race director yelled “go," and 45 cyclists, runners and skiers fanned over the frozen lake. Amid several inches of new snow, I joined a pack of six cyclists as we mashed our way along soft snowmachine trails over the rolling hills of the Susitna River Valley. The going was slow — 8 mph at a sprint — but the smiles were wide as clear-day sunshine and the distant peaks of the Alaska Range loomed over our heads. I felt strong and alive — exactly, I thought, how I needed to feel at the beginning of a six-day endurance adventure.

As the trails became more drifted in and our progress slowed, the pack began to break apart. I found myself out in front, walking with my bike through shin-deep snow on top of the frozen surface of Flathorn Lake. A fierce wind whipped up the powder into swirling ground blizzards, which sparkled like confetti in the orange light of sunset.

Once the sun sank behind the mountains, the wind-driven snow obscured the trail and filled in the footprints of the racers who came before me. I was gazing up at the last hints of red light on Mount Susitna when the front wheel of my bicycle dropped sharply into a trench. My instinctual reaction was to fall backward as I slid down the embankment. My right leg punched through a thin layer of ice, plunging to my hip in frigid water. My left leg twisted painfully but remained on solid ice as I swung around and clawed up the slope.

As I hoisted my bike out of the trench, I realized my handlebar had punched through the ice, soaking a handlebar mitt and a mitten that was stuffed aside. A half-eaten bag of M&Ms was missing, most likely already drifting toward the bottom of Flathorn Lake. But, most concerningly, a rush of cold water had filled by boots and was slowly soaking through to my skin.

I wavered for a few seconds of disbelief at the edge of the trench, watching slushy water gurgle up from the hole I had punched in the ice as a veneer of frost formed on my pants. The sun was gone. The temperature was already dipping below zero. The wind whipped up light snow and a deep chill, and every rational voice in my head pleaded with me to get off that lake.

I walked toward the relative shelter of the shoreline, trying to formulate a plan. I would gather wood, start a fire, take off my boot, crawl into my sleeping bag, and wait for help. But did I really need help? What if I just took off my boot, put on a pair of dry socks, and continued down the trail? But my wet boot would only wet those socks, and any exposure to the subzero air could only make things worse. What choices did I have? The tree-lined shore seemed to only move farther away.

By the time I reached shelter from the wind, 45 minutes had passed. I bent down to take off my boot, but ice had encased my entire lower leg. I couldn’t even rip apart the Velcro on my gators, let alone undo the boot’s zipper or laces.

“My boot is insulated,” I thought. “So are my vapor barrier socks. My foot feels pretty warm right now. Maybe that insulation will be enough to get me to the next checkpoint.”

As I beat more ice off my pants, another cyclist, Sean Grady, caught up to me.

“What’s going on?” he asked.

“I’m,” I said, and paused. “I’m just trying to get some things together.”

“Really?” he said. Even in the soft light of my headlamp, I could tell he didn’t believe me.

“I stepped in overflow,” I finally admitted. “Back on Flathorn. I can’t get my boot off.”

“Are you going to stop here?” he asked. “Do you need me to send someone back?”

“I think I'll keep going to keep going until my foot feels cold,” I said. “If I stop, it’s because I’m worried about my foot.”

With that, we continued pushing our bikes across a blown-in section of trail. Eventually, I wandered out ahead, alone, on the Yentna River.

For the next few hours I alternated pedaling over the soft snow and running with my bike to help boost circulation in my wet foot. I wiggled my toes and continued to tell myself I was fine. But in the interim, seven hours passed and the temperature dropped below minus 20. The hard headwind never let up. The effort and my carefully planned clothing kept me warm, but fear started to creep in. “I’m still fine,” I thought. “I’m fine because I feel fine.”

At 2:30 a.m., I reached the first checkpoint, a quaint little river lodge at mile 57. I was in 14th place at the time, and still only about an hour behind most of the race leaders. I snuck in quietly and crouched next to the wood stove, chipping away at the hard ice and trying to loosen solidified pieces of footgear. When I finally worked the boot open, my foot wouldn’t budge. As I worked my wet sock down and wiggled and yanked my foot, nothing happened. My socks were frozen to the inside of my boot. And my foot, I realized with sinking dread, was frozen to the inside of my socks.

When I finally freed my foot, nearly a half hour after I sat down next to the wood stove, I found five chalk-white toes with skin as solid as wood. Even as I tried to reassure myself that they might not be frozen, I knew exactly what I had done, and I knew just how heavy a price I had yet to pay. My race was over. I faced hospital visits, longterm injury, possibly permanent disfiguration. But, worst of all, my race was over. I leaned against a stairway and fought back a rush of blood to my head. It seemed such a high cost for a simple misstep, a single instance of letting my guard down during a moment of bliss.

I took a sleeping pill and napped for about two hours before the thaw set in. My boyfriend, Geoff Roes, who was competing in the race as a runner, arrived at about 5 a.m. We moved to an upstairs room where the temperature was at least 80 degrees. Geoff had a cold that was quickly developing into something closer to pneumonia. For the next three hours, I writhed on the floor in burning, excruciating pain while Geoff coughed and sputtered and struggled to breathe. More than once I envisioned a Spartan 19th-century hospital, the kind of place where non-anesthesitized patients lay strapped to cots, screaming. Geoff and I had unwittingly set up a makeshift Iditarod triage center. It would have been somewhat comical if it wasn’t so painful.

By morning, my toes had formed deep yellow and purple blisters, Geoff could barely stand up and we both knew we needed to catch the first flight out of there. The morning burned bright and beautiful, with ocean blue sky and sparkling snow. More than anything, I wanted to return to the trail. The race seemed so simple compared to the alternative. But reality had finally set in. I had frostbite and I had to go home.

In the week since the race, I have gone over the scenario again and again. I tried to recognize what I could have done differently and how I could have better handled the situation. I’ve had to remind myself that what’s done is done, and all that matters now is moving forward. My hospital visits have netted positive results, and I will most likely be able to keep all of my toes and may someday even ride a bike again, although it’s hard to imagine as I hobble around on crutches.

“Experience is what you get when you don’t get what you want,” a friend wrote to me as I struggled through the disappointing aftermath.

“Experience is what you always get,” I wrote back. But some experiences are more valuable than others.
Sunday, March 08, 2009

Crutching


Since I came back to Juneau on Wednesday, my life has fallen quickly back into its old routine ... minus, quite notably, the biking. I'm not sure when I'll be able to ride, or even really walk, again. But despite a building reserve of pent-up energy, I'm not in any mood to rush it. I'm willing to set aside the time it takes to heal. Meanwhile, though, the late winter is passing me by.

Geoff has not been able to shake his cold, but has been feeling similarly pent up by biological forces beyond his control. So today he announced he was going to the Mendenhall Campground to ski "for an hour, tops." And as I looked out at the seductive sunshine hovering over 10-degree temperatures with fierce winds, I asked if I could go with him.

I wrapped my useless foot up in three socks and a down bootie and planned to crutch over to a nice sunny spot and wait for Geoff until my left foot (the one with the feeling, and therefore the indicator) became cold. But as I approached the shoreline of the frozen lake, the relief of hard effort and a well-packed trail beckoned me forward.

I tested the trail to make sure I wasn't leaving deep postholes, but the claws on the crutches didn't dig in any deeper than my footprint. I so badly wanted to go for a little walk, even if only a mile or so, that I weighed the ridiculousness of hobbling down a snowy trail on crutches with the likelihood that a skier might stop and scold me. It was still worth it. I tentatively ventured forward while planning my defense: "Don't the injured deserve sunshine, too?"

And to my relief, everyone I encountered treated me like a normal person. "That was me last winter," one woman told me as she skated by. "I thought I was going to go bonkers." Juneau skiers are the best.

I returned to the car to meet Geoff an hour later, my biceps and abdomen burning and my face dripping sweat. Both feet were nice and warm. It felt great to get out.

I know I've mentioned this before, but I wanted to take a minute to formally thank everyone who helped me with my stunted race effort.

• Greg and Pete at Speedway Cycles. As I write this, Pete recently arrived in McGrath in fifth place and the first-place skier. Honestly, Pete, after seeing you chop along that first day, I am extremely impressed. Way to persevere through tough conditions. Enjoy the well-earned rest, whether you go on to Nome or not.

• Eric at Epic Designs. The day we returned from Juneau, Geoff and I placed a brand new order for summer frame bags (It's about time my Monkey had her own seat and bikepacking gear.) Eric's stuff is so in demand that he's backordered about six weeks now, and the dude really does sew all day long when he's not skiing a sub three-hour 50K in the Tour of Anchorage (Congratulations, Eric! 2:55 is awesome!), so I recommend ordering soon.

• Ultrarob, who held a fundraiser for my race even though it turned out to be a short one. Ultrarob's store still offers deals on a great assortment of cycling and outdoor gear. Check it out.

• Fellow Yentna drop-outs, Italian cyclist Riccardo Ghirardi and Spanish cyclist Isabel Lopez. Even though the communication was limited, your friendship through those hard hours was priceless.

• Everyone who bought my book. I'm pretty bummed I didn't come out of this year's event with more stories to tell, but there will be time enough for that soon. (This book's still pretty OK, though, so you should buy it :-)

• Those who made unsolicited donations through my blog, which was a very nice surprise.

• And to family, friends, and the people who read this blog. I really feel like I belong to a great community of like-minded friends worldwide.
Saturday, March 07, 2009

Watching from afar

I finally had a chance to go in to see a doctor in Juneau this afternoon. I wasn't sure who exactly to see in town, so I just browsed the Yellow Pages and became more perplexed with the choices before finally just calling a foot and ankle specialist (with the reasoning that, well, toes are part of the foot.) I was lucky to find an older doctor who had dealt with frostbite before (much less common in Juneau than you would expect in an Alaska city. People here are more likely to get trench foot.) Anyway, he informed me that "at worst," I'd lose the tip of my big toe. Most likely, I'll just lose my toe nails. The worst-case scenario isn't ideal because it will involve an outpatient surgery and prolong my recovery, but all in all, the prognosis is looking good.

Every single employee in the clinic crowded around my chair to take a look at my foot - apparently frostbite is a major curiosity. One woman brought out the clinic's brand-new camera and asked me to rotate my foot in various positions, giddily snapping shots like a fashion photographer. "We need to track your progress," she told me. But I somehow suspect a picture of my disgusting, blistered toes may turn up on some hidden wall of fame in the supply room. (They look way worse now than they did in the emergency room picture I posted on this blog.)

As I explained to my audience how I happened to come down with a case of frostbite, a younger doctor interrupted to say, "Wait ... do you have a blog?" When I told her I did, she said "Oh, I think I've seen it! I moved up from California six months ago and everyone told me I wouldn't be able to ride a bike up here. I Googled "Juneau bike trails" and landed on the blog of this woman who does all this crazy biking in the snow. That's you?" I nodded. "I showed it to everyone on my floor," she continued, "so now most everyone at (this hospital in California whose name I've forgotten) has read your blog!"

They carved off the latest blisters, wrapped up my foot and sent me on my way with a new bag of antibiotic goop and bandages. It will probably be at least another week before I'm able to put any weight on my foot, and another chunk of time before I'm really walking. Having frostbite is not unlike sustaining a serious burn. The pain, treatment and recovery are very similar. Fire and ice.

In the meantime, I am continuing to watch the progress of the racers still in the Iditarod Trail Invitational, and am in awe of their progress in continually tough conditions. The leader, much to my amazement, is still a cyclist ... Jeff Oatley of Fairbanks. He's on the homestretch to McGrath, looking like he may finish in just under six days. The lead woman, Tracy Petervary, who is traveling with her husband, Jay, is not far behind, which also is incredible. Even more exciting are the two skiers hot on their trail, including Ed Plumb, who is one of the nicest guys I've ever had the pleasure of letting examine a set of frozen toes. If the trail is blown in by high winds as has been reported, will the skiers catch Jeff? Stay tuned!

Tracking this race on the Internet has been cathartic, and helped me stay upbeat over the course of this week, where disappointment and regret still loom. Even though there is nothing I can do to change what has happened, it's also been theraputic for me to imagine scenerios in which I could have saved my race and stayed on the trail, where I still wish I was and feel I belong. In my gear on my bike, I had one pair of extra Smart Wool socks, several foot warmers and a pair of down booties. I've imagined this scenerio where I stopped right on the lake, removed my boot and wet socks, placed both dry socks and some warmers on my right foot, pulled the bootie on and wrapped the whole thing in duct tape to keep the down bootie from shredding. I'm not sure this would have been enough to get me through seven hours of pushing and pedaling in what was likely a -40 degree windchill, but it surely would have been better than a wet boot, even with all the insulation I believed was helping me. Live and learn.

It's interesting because I still really believe that the tough conditions this year would have favored a person like myself, who is not fast but who has been working to master the art of the slog, and who really believed she was mentally prepared to handle it. Like I said, nothing I can do about it now. And it's not like I really even know what's going on out there. But, for therapy's sake, I'm going to let myself believe that I could have caught up to the main pack bottle-necked at the pass and kept pushing on toward McGrath.