Thursday, August 11, 2016

Forcing my way through August

I was 1.5 miles into a bike ride on Wednesday when I stopped to take a couple of puffs from my inhaler and pull a buff over my mouth. It was 89 degrees with a strong wind. Dust was swirling through the air, which has become such a trigger that I've learned to viscerally react to it as though it were poison gas.

"I should probably turn around," I thought. But it was a rare occasion when I finally talked myself into getting on the bike. The previous days, there had been excuses. "I have too much work to do. I need to go to town today, so I should just run Sanitas. I did so well running up Bear Peak yesterday, so I should do that again."

As I lingered on the gravel road pullout debating how I could justify cutting this ride short at mile 1.5, another insidious thought popped into my mind:

"What if I'm becoming someone who just doesn't like riding bikes anymore?"

Yeah, so, that ... my fitness right now is poor for several reasons, and getting back into cycling after four months off has been tough. I know how lame it is to avoid something just because it's tough, but for so long the effort of cycling has felt so natural. Now that it's not, I've become bewildered and frustrated. I'm not having fun so why should I bother? It's interesting to observe these knee-jerk emotions through the scope of my wider experience.

With my current breathing issues, I have good days and bad. Over the weekend I did two runs up Bear Peak that went quite well. I've been monitoring heart rate to assess exertion levels versus shortness of breath symptoms, and both times on Bear Peak my heart rate hit the high 170s before I felt winded. On Sunday, I joined Beat for a two-hour ride that started horribly but improved toward the end — strangely, on the steepest pitch of Flagstaff Road, where my lungs opened up and my speed actually improved over flatter sections. On Monday I ran a five-mile loop over Mount Sanitas — which starts 2,000 feet lower than my Bear route — and became wheezy when my heart rate hit 151. I took a few inhaler hits and managed the rest of the run okay, but never saw anything near 178. During the Wednesday bike ride, I was also in the low 150s when I felt overly winded and needed to stop just two minutes into a climb.

So, it's been a little all over the place and I can't really blame biking. It's just disappointing to have such low motivation levels and find myself making all kinds of excuses for activities I used to love, in beautiful and exciting new places where I'm lucky to live — just because I don't feel great when I'm doing them.

For that reason I forced myself farther into the Wednesday afternoon ride, climbing and descending seemingly endless steep dirt roads while gasping through snot and tears. Oozy face is another reaction I have to allergies. Really, my sneezing, watery eyes and congestion were never this bad in California, even ignoring more recent asthma issues that also affected me there. Something here in Colorado just really doesn't like me. And I assuredly don't like it. I wasn't having fun on this ride, and wanted to quit. But that question — "What if I'm becoming someone who just doesn't like riding bikes anymore?" — was more disturbing than my symptoms, and propelled me forward.

I dropped toward Gross Reservoir as thunder rumbled overhead. This storm moved in quickly — just a half hour earlier the sky was blue. Clouds opened up and for five minutes it rained hard, tamping down the dust and cooling the air. It continued to sprinkle, and for the rest of the ride I felt considerably better. Drawing cool, moist air deep into my lungs felt incredible — I could actually feel a substantial difference between breathing deeply, and whatever it is I do the rest of the time. It's as though I subconsciously stifle my breathing when there's "poison gas" in the air, taking shallow little breaths that leave me feeling oxygen-deprived.

Anyway, between monitoring the pollen forecast and my heart rate, detecting absolutely no difference when altitude changes, and the considerable positive effect of rain — I'm now 95 percent convinced that my breathing issues are allergy related. Either that, or there's a strong placebo effect in believing they're allergy related. I'm now 14 days into my new allergy treatments, which need time to take effect.

I also only have one more week to endure August in Colorado. Beat and I leave a week from Friday for our annual trip to Europe. It will be quite interesting to test my fitness there. Beat is again racing both PTL and TDG, but I don't have anything planned this year. It will be the first time since 2011 that I don't have some crazy mountain race on my calendar (I have finally for the most part conceded that crazy mountain racing isn't really my thing, even if I were healthy and fit.) I was going to join an English acquaintance for a fast-packing-type hike around last year's Ultra Trail du Mont Blanc course. He recently sustained a serious knee injury, so we had to cancel the trip. I have been quite disappointed about it, even though I'm not sure I'm fit enough to attempt this 104-mile route in three to four days (the UTMB limit is 46 hours, which I discovered is a tight cutoff for me on this steep and often technical route. 72 hours when you're planning to sleep is not much more.) Still, it was the endurance element of this trip that really had me looking forward to it. Admittedly my friend did most of the planning and I don't have much to go on if I decide to head out solo. I'm still considering it — just download my GPS track and maps from last year's race, bring a sleeping bag and bivy sack in case all of the refuges are booked up, and hope for the best. After three years of trying (2012 finish on a shortened UTMB course, 2013 DNF in the PTL, and 2015 DNF at UTMB) I have yet to make a full loop around Mont Blanc, and I swear this will haunt me until I finally do it. But my odds aren't great this year either so ... we'll see.

Of course I'm still excited for this trip, even if I just dawdle around on day hikes. I'm hoping that by having no crazy mountain races in which to horribly fail, I will be stronger and more stoked when I return to Colorado in September. At that point, I need to really focus on winter training if I want to have any hope for my hardest endeavor yet — the Southern Route of the Iditarod Trail.

First, I need to get farther than 1.5 miles into a bike ride without feeling like crap. I remain uncertain, but cautiously optimistic.

Thursday, August 04, 2016

Rollins Pass

 It's been a bad week for breathing. Just about on cue after I had allergy testing done last week, the weather service released day after day of allergy alerts, warning of very high levels of grass pollen. Of course I don't know how closely related my breathing difficulties are to my allergies, but despite new medications, it's been a low-functioning week. Two miles into a bike ride on Saturday, I experienced something close to an asthma attack and cut it short. The same happened two miles into a run on Sunday. This was after turning down invitations for fun mountain adventures because I didn't think I could handle anything more than a four-mile run (turns out I couldn't.) Who am I becoming?

The emergency inhaler helps temper the urgency I feel when I over-exert myself. But it doesn't quite open up my breathing. I still have that tight, breathing-through-a-straw sensation to a certain degree, and I don't seem to process the oxygen needed for even moderate aerobic efforts. If I become dizzy once, it's difficult to recover. When I speak of over-exerting myself, I basically mean exerting myself. Walking is fine. Running has mixed reactions. Biking, for which I'm out of shape and can't regulate my efforts as well, has been the most messy.

Although I feel somewhat assured that my rapidly declining fitness is linked to allergies that I am both working to treat and waiting to go away, I can't be certain. Lately, being outside leads to feeling bad, which is a strong de-motivator to engage in activities I love. It's a little scary, to be honest, and may have resulted in some crying in the shower after a horribly failed Sunday run. But there's also some acceptance about making it work if this is my new status quo. I realize that unless I feel a real risk of passing out (not usually), I can still muddle along in the outdoors.

 There's a long jeep road to Rollins Pass that I've looked forward to riding for months now. It's one of the few places nearby where one can ride a bike on dirt over the Continental Divide. Although I'd previously visited Rollins Pass on foot, I relished the beautiful views and was excited to return. Since there was some improvement to my breathing on Monday and Tuesday, I took an opportunity on Wednesday to take my long-neglected mountain bike on a tour.

 The road to Rollins Pass is winding and gradual, but also quite chunky. Finessing around all those rocks keeps speeds low, which also keeps exertion down. It's a pretty good route for an asthmatic person who's just getting back into biking after four months. The long, long railroad grade eventually climbed to a railroad tunnel that had partially collapsed. There was a nice trail around it to the left, which I didn't discover until I returned. Instead, I hoisted my bike up the slope to the right, where the descent was actually a bit gnarly. It involved skittering down on very steep, loose dirt, wedging my shoe against a rock for leverage and then nudging the overturned bike downward. There was an unnerving drop-off just a few feet away.

 From there, the track continued climbing up large chunks of loose gravel, which had the effect of riding on rollers that continually spun me backward. I walked most of this to avoid hitting the red line, but it was still hard. I'd taken a few breath-catching breaks earlier in the ride, but my breathing actually opened up as I climbed above timber line. Riding this ridge at 11,700 feet, I continued to feel stronger — even risking those deep, lung-filling breaths, which felt amazing. Perhaps all I need is more of this clear, thin, relatively pollen-free mountain air.

 Return on the old railroad trestles. I love old mining roads and mountain railroad grades. Maybe I'll make a future project out of touring a winding network of these roads across Colorado.

 The perfectly nice trail around the tunnel, which I missed the first time. This short piece of singletrack renewed interest in riding Colorado Trail. But no, I don't love rocky technical riding or mountain hike-a-bike (especially the downhill variety.) I would like to hike the Colorado Trail someday, though. Maybe fast-pack style if I ever get my fitness back.

The tunnel as seen from below. The descent down the eastern side Rollins Pass is tedious — a continuous grade perfect for coasting at about eight or nine miles per hour, but rocky enough that you can never really open it up. So basically I sat on a bike not pedaling for ninety minutes, while trying to protect my still-tender hands, arms, and shoulders, but taking a bit of a beating despite my best efforts. Not unlike riding a slow-moving jackhammer. I'm sure better riders blast down that road without fear of hitting a rock at the wrong angle or skidding out on the chunder, but I am not really there right now (nor do I think I ever was.)

Still, I enjoyed this ride and think I should do more of this, rather than fret about whether I'll ever be fit enough to race again. 
Thursday, July 28, 2016

More on being allergic to summer

Beat's hummingbirds. There's so many that we've been going through 1.5+ liters of sugar water per day.
 The asthma doctor had great reviews and seemed very nice, but I could tell that he wasn't necessarily going to be sympathetic to my cause. He worked through the usual questions, but a slight frown appeared on his face as I explained my "problem."

"I just get winded so easily. Sometimes while walking up my stairs at home, I have to slow because my breathing feels so constricted that I become dizzy. I do twenty-mile runs, feeling like I can barely breathe for most of the time, holding back so I don't have an attack. Yet I don't feel tired or sore after I stop moving, so there's no indication that I'm overdoing it. I use my emergency inhaler at least once for most of my workouts. I think it does help. It was never like this a year and a half ago. Not before I had pneumonia last summer."

"You do twenty-mile runs?" he asked.

"Well, yes," I said. "I just have a lot of trouble with more intense exercise. Even moderate intensity. I really start to feel bad."

I could only guess what the doctor was thinking. Clearly I'm still capable of doing things that 95 percent of the population doesn't do, and that no one really needs to do, so what's the problem? A lung function test showed my lungs are operating at 102 percent of the average for someone my age and weight. A chest X-Ray turned up normal. My resting heart rate is high (78! High 70s are what I've seen a few mornings in a row when I checked first thing. In California, my resting heart rate was always in the high 50s / low 60s.) But my blood pressure is good.

I got the sense that I might get shoed away with only a renewed emergency inhaler prescription, but I pressed for a skin test by expressing interest in starting allergy shots after I return from Europe in September. I had one done last October in California, which was informative but somewhat unremarkable. This Colorado-based test was impressive enough that the nurse demanded my phone so she could take a picture.

Those middle rows pretty much say "grass is poison to you." The rest can be translated as "You're mostly okay with indoor allergens such as mildew and dust mites. You could languish away in a moldy basement for the rest of your life and be fine, but don't go outside!"

Anyway, the doctor agrees that I'm a likely candidate for allergic asthma that's mainly induced when I am exercising outdoors. He said it would be a good idea if I returned to using the maintenance inhaler I used from February to April, as well as a steroid nasal spray for my very bad nasal congestion. I'm glad to try these treatments as I believe they will help me feel better when exercising, although of course there are still many unknowns. I may not have asthma. For several reasons I hope I do, because although asthma can be a life-long disease, it is also treatable. What isn't necessarily treatable are birth defects like a patent foramen ovale (a hole in the heart, which one blog reader told me may effect as much as 20 percent of the American population, but who often experience no symptoms until they go to high altitudes, to which they'll never adapt), as well as lung scarring and other obstructions that can't be detected by an X-Ray (although my lung function is good.)

So ... there is hope! I recognize that I am quantifiably healthy and can't complain too much about this condition. Right now I am optimistic about medication, still looking into allergy shots, and also moving toward acceptance of working with whatever fitness I have if these treatments don't help. I also remain optimistic that mostly what I need is for summer to go away, and I'll quickly build strength the way I did last fall and winter (with relapses into asthma symptoms that I believe were directly related to respiratory illness.) There's still time to launch into "training season."

The plan is to get back on the bike tomorrow. Honestly I'm a bit scared of my bike right now — not only because of the weak arm/steering issue, but because you can't hide from more intense efforts on a bike. Running, you can always slow to a plodding walk if you need to, but keeping a bike upright on a steep hill requires a minimum of effort, even with a granny gear. It seems this minimum of effort puts me in the hypoxia cave. But yes, back on a bike tomorrow and most likely a long run into the high country this weekend.

I'm excited! Even if I am starting to think of summer the way other people view winter — an uncomfortable time to be endured until friendlier weather returns.