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!