The day finally arrived when the four of us, teams Coast Mountain Sports 1 and 2, packed up our gear and headed south to compete in the 30km Sport Course section of MOMAR Cumberland. 4:30 am, our agreed upon meeting time to pack our gear and bikes, came so incredibly early. I spent a restless night waking up every 45 minutes because I didn't want to sleep through my alarm.
We took the front tires off of our bikes to reduce the weight on the bike rack, loaded our gear bags into the trunk and strapped the bike rack onto the back of the car. It was one of those bike racks that lashes onto the trunk rather than a hitch model - no hitch on my car, hereinafter dubbed "the MOMAR mobile." By the time the bikes were loaded we were excited to be 15 minutes ahead of our scheduled 5:30 am departure time. The goal was to make the 3:00 ferry to Nanaimo in order to have some leg-stretch time in Cumberland in the evening.
At approximately 5:30 am our plans came to a crashing halt when one of the straps holding the bike rack to the trunk snapped, sending the rack and our four mountain bikes crashing onto Hwy 97 S at around 90 km/h. I looked into the rearview mirror and saw sparks.
In our favour? We were on a four lane section of highway so room for transports to move over, no traffic behind us to inadvertently end up wearing our bike rack and bikes, and close enough to a major intersection that there was a street light. We lashed the rack back onto the car and carried on.
A normally hour long journey to Quesnel took close to 2 hours. I was scared to drive beyond 80 km/h and all of us probably did an inner jump whenever there was a bump in the road or odd noise coming from the rack area of the car. We stopped at Wal-mart in Quesnel and two bungee cords were purchased to secure the bikes to the rack more securely and to secure the rack more securely to the car. Onward south we went. The goal still to make the 3:00 pm ferry.
The refueling stop at 100-Mile resulted in more bungee cords being purchased. The rack kept moving, sliding further back on the trunk and straps would pop off and there would be metal clips slamming into the trunk of the car. It seemed as if we stopped every half hour to readjust the strapping and tighten things down. It was in 100-Mile when I also came to the horrible realization that my bike was severely damaged in the crash.
As my bike was put on the bike rack last, it was at the bottom of the pile when gravity brought the rack to a crashing halt on the highway. My derailleur - the mechanical bit that helps shift gears - was bent at a horrific angle, the chain was jammed between the rear tire and the frame, the sprocket holding the back tire to the frame had come undone and the only thing holding the back tire on the bike was the bent frame.
I had that horrible feeling my race was over before it began.
We carried on, only by now had come to the realization the 3:00 ferry was not going to happen and we were now aiming for the 5:00 ferry from Horseshoe Bay to Nanaimo. Problem. Vancouver Friday afternoon rush hour traffic and road construction. We made to the ferry terminal at 5:05 pm and were heartbroken.
Race check-in was scheduled for 7:00 until 9:30 pm and bikes had to be checked and stickered to confirm they were fit for the race. It is a nearly two hour ferry crossing and another hour and a half drive to Cumberland from Nanaimo - which put us well past the 9:30 pm cut-off time. We called the Race Director and were told this happens every year and we sent him a text when the ferry was on the way to let him know we were once again on route. We made race check-in with two minutes to spare.
The cycle shop was still open so after checking in for the race and into the hostel we walked our bikes over to the bike shop. Or should I say I limped my bike over to the bike shop. Needless to say after its pre-dawn crash onto the highway my bike (which I had just purchased 6 weeks ago) was in no condition to race. The cycle shop cut me a deal and straightened out what they could on my bike during the race while I road a rental bike for MOMAR - a full-suspension technical mountain bike. My bike is a "hardtail" - only front suspension.
Four hours of sleep later and we take our bikes to the designated bike drop off and then grab some breakfast before the race. We headed down to the lake to watch the Enduro racers do their kayak portion and then prepped ourselves for the race start at 10:30. Maps for our course were handed out at 9:00.
By the time the Sport Course was started, the calm as glass waters of Comox Lake had changed with the wind and we were treated to a 5 km course that battled winds and tides. It was exhausting and exhilarating at the same time. It was also the first time I'd paddled a kayak - my previous paddling experience had been in a canoe. My partner and I managed to finish in a respectable not last place and we headed off on the trail running portion of our race.
This is when things started to unwind for my physically. 15+ years of dealing with chronic pain from inflammatory arthritis has resulted in me taking an antidepressant. While that has done wonders for my brain chemistry, it has wreaked havoc on my stomach and I battle nausea every day. The physical exertion of the adventure race made that nausea unbearable.
We managed to navigate through the trail running portion of the course with only one slight error in course which was quickly corrected with only a slight loss of time. The hill though, I don't think I will ever forget the hill. It went straight up and didn't stop. It teased you and made you think it was stopping and then it laughed in your face and went further up. And up. And up. And up some more. I barely had legs left by the time we made it to the bike check point. That's when the unwinding continued.
Remember my last post when I commented about not being an athlete? Well, I'm not a technical mountain biker either. I was just adjusting to riding a bike with front suspension and now was mounted on a full-suspension technical bike that was far out of my league. And the tracks were incredibly technical as well. End result was my walking the bike more than I rode and a left calf that looks like someone took a meat tenderizer to it. I'm still not sure exactly where the three inch long, 1/8 inch wide scraping gash over my Achilles tendon happened. That one will take time to heal and may even leave a mark.
By the time we'd pushed/rode/shoved the bikes through to the middle checkpoint I was done. I was frustrated beyond belief with the bike, stressed about my bike and exhausted from fighting nausea the entire time. I was done. Done. My teammate was disappointed but I had nothing left.
Am I upset that I didn't finish? Disappointed but I have to remind myself I just started training for that race 5 months prior and literally went from couch to adventure race in that short time period. The fact I made it as far as I did with the level of fitness I had was amazing considering my medical situation.
Could I have done anything differently? Of course. I think some of the big factors were (a) not getting enough to eat the day before (b) the side effects of the AD (c) not having enough rest before the race (d) not having a strong enough fitness base. These things can be changed.
I think by trying to micromanage my ileostomy for the long drive - the first long road trip in 7 years - I ended up depleting my stores. I ate low residue food and didn't eat a lot because I didn't want to be stopping to empty my appliance a lot - no, you cannot regulate ileostomy output by not eating, in fact that causes all kinds of problems in itself - but by being careful about what you eat you can minimize the number of times you have to empty the appliance in a day. That, combined with a lack of sleep the night before the race, didn't give me a lot of energy to bring forward.
Then there is the eating during the race. I need to keep working on that one and experimenting with different race foods. I know that bars and gels can be risky because they can increase "output" - which means a lot of side treks off the beaten path to find a private log. I have to find out what I can eat during a race to keep my energy up.
All in all, however, I wouldn't trade that weekend for the world. I know what to expect for next year and can be better prepared physically for it. And I really enjoyed being in that atmosphere, surrounded by over 300 physically fit people all with the same goal to test themselves over a grueling course because that's what they love to do. It's addictive and I can't wait to do it again.
Next up? I carry the Olympic flame in January!
Before then, however, the training continues.
See you on the trails,
Barb
Wednesday, September 30, 2009
Monday, September 28, 2009
Since when am I an adventure racer?
Being a fan of the "Eco Challenge" of days gone by, I have always wanted to do an adventure race. My main motivation was wanting to be fit and healthy enough to do something that physically challenging. While not of the same scope as "Eco Challenge" when the opportunity to take part in the 2009 series of MOMAR - the Mind Over Mountain Adventure Race - I took it.
I started my journey towards MOMAR Cumberland - September 26, 2009 - in early May with an opportunity through my employer Coast Mountain Sports. CMS was the title sponsor for the 2009 series and gave 18 employees the chance to do a race. I signed up and was accepted - then the search for a race partner and the start of a training regime began.
First, some background to bring you up to speed.
I am not an athlete. With the exception of sports days I participated in back in the late 1800's when I was in elementary school and phys ed classes in senior high school, I was not an athlete. I was never a runner, didn't play team sports in school. My thing was horses so if the sport didn't have equines involved it did not exist in my universe.
I was a "heavy" kid - you know that "big boned" kid who wasn't obese but wasn't slim either, well, that was me. I didn't trim down until after high school and that was more through luck and dietary changes than through any massive exercise regimen - did I mention I am not an athlete?
A diagnosis of Ulcerative Colitis and then a diagnosis of Ankylosing Spondylitis at the ripe old age of 27ish meant my primary means of exercise was running to the toilet, worrying about colorectal cancer and sitting in doctor's offices, going to physiotherapists, occupational therapists...you get the point. I fought UC for 10 years - it never really went into remission so I was always symptomatic and always losing blood. In February 2001 this nearly ended it all for me as I was admitted to hospital with a hemoglobin count of 57 - it was supposed to be somewhere between 130 and 160 and mine was 57. Severe anemia caused by blood loss caused by UC.
I was hospitalized in an attempt to stabilize the UC and then "scoped" to determine how bad it really was. It was really bad - my entire large intestine was involved, a term called "pancolitis" and it had to come out in order to save me. To make matters worse, the IV I was given during the "scoping" procedure possibly caused a blood clot to form in my right arm - brachial vein thrombosis - from my elbow to my shoulder and about to break off to my lungs by the time I was evaluated by a specialist. While rare, it can happen after an IV if a patient is severely anemic, very dehydrated and very very sick with UC. Like I was.
Problem. I was bleeding out of one end of my anatomy and clotting at another. In order to treat the clot, doctors normally give patients medications that thin the blood, that "bust up" the clot. Problem. I was bleeding out of one end of my anatomy and any treatments for the clot would have me bleed out and die. My large intestine had to go in order to give me meds to treat the clot.
After 10 years of fighting UC I was so ready to be over and done with it I was relieved when the surgeon said they were going to remove my large intestine. Finally, I thought, I'd be "healthy" and get strong and be able to be active and not be chained to toilet facilities and be rid of the pain of UC. It is a very painful disease.
In April 2001 I became an ileostomate. Several weeks after surgery I experienced a life-threatening post-operative complication called a volvulus which killed off approximately a foot of my small intestine and resulted in emergency surgery to save my life. In January 2002 I had another round of surgery to make me a permanent ileostomate, revise the stoma created during the surgery to deal with the volvulus and to remove an internal abscess. Between those two surgeries I dealt with recurring abscesses, sepsis, early stage renal failure, issues from being on a "blood thinner" to heal the clot, post-traumatic stress disorder, and on and on and on.
I will wear an ostomy appliance for the rest of my life.
In November 2006 I had another round of surgery to excise an abscess that formed in my pelvic cavity possibly due to an internal stitch from the 2002 surgery becoming infected and forming a sinus (a cavity). I'll spare you the details of where but will tell you it was so painful I could not sit and was on the maximum dose of T3's and still in pain. Four days in hospital post op on morphine and T3's and then three months with a surgical drain to clear the abscess and finally life goes on.
So, what does it mean to be an ileostomate, you may ask? Well, it means I am alive, which is the most important fact of all. It means I no longer deal with the pain of UC, which is great. It means I have to be very careful to avoid dehydration and have to be very careful to make sure I am maintaining my electrolytes. Why? Well, most people think the large intestine has only one real job. While that may be it's main job, it also is responsible for reabsorbing water/fluids from "waste" materials and for reabsorbing electrolytes. While your small intestine does adapt to a certain extent, it does not replace the full function of the colon so fluid and electrolyte loss is a key concern. This is even more critical in patients like myself who have had a blood clot and who have been through early stage kidney failure - get dehydrated enough and either or both of those could happen again.
What else does it mean to be an ileostomate? It means I have to be careful and conscious about what I eat. I have a different waste removal system than you do. My "waste" is collected in a bag stuck to my abdomen and everything that goes into that bag does so through a small hole in my abdominal wall. So if I don't chew my food thoroughly it can get stuck. If I eat really high fiber foods the undigested fiber can get stuck. If I eat popcorn the kernels can get stuck. Getting stuck means small bowel obstruction which means trip to the ER and a LOT of pain. I experienced this due to post-op swelling and it is absolutely painful and frightening. I tend to avoid this. If I don't drink enough water to help food move through my small intestine it can get stuck.
There is a whole new food chemistry one learns as an ileostomate. Some foods cause watery output (output being the technical ileostomate term for "waste") some foods thicken output, some foods cause odor, some foods cause gas and make your appliance balloon like a life preserver, and each ileostomate has to experiment and see what does what.
And then there is the whole appliance issue. It's a bag attached to my abdomen. Fear number one, the bag falls off and I end up covered in "output"/"waste"/crap. Fear number two, I am not able to empty the bag often enough or soon enough and the seal blows and I end up covered in "output"/"waste"/crap. Fear number three, people can tell I wear an appliance (which is unrealistic but one does develop body image issues when one has been subjected to ostomy surgery and every ostomate must work through these issues at some point or another.) Fear number four, I will never find a soul mate (again unrealistic but I'm allowed those fears.) Fear number five, after several years, many manufacturers and a lot of trial and error, the type of pouching system that I use that works and that gives me good wear time will be discontinued.
So, you ask, does being an ileostomate mean you can't camp/hike/run/race/bike ride/ horseback ride/trek/travel/kayak/canoe/portage/play/insert your favourite activity here? Absolutely not! I have to be careful lifting heavy items - 25 pounds is a rough limit due to the number of times my abdominal muscles have been cut and the risk of hernia that causes - but otherwise I can do whatever I want. I just have to make sure to drink clean water, eat clean food and maintain my electrolytes.
The world is mine.
And the way I look at it, I "lost" close to 15 years dealing with UC and issues related to UC. It's time to catch up on those 15 years. This is why I'm an adventure racer - because I can be one.
This is also why I created this blog. Having an ileostomy is a life-long learning experience. Food, activities, particularly if you factor in training and competing in things like adventure races. How do I eat for a race? How do I eat during a race? How do I eat after a race? How do I keep my appliance on during a long exertion like an adventure race? These things I will learn, and many more, and I will share that learning so somewhere out there another ileostomate doesn't have to start from scratch like I did.
Next post, a wrap up of my MOMAR Cumberland 2009 experience.
See you on the trails,
Barb
I started my journey towards MOMAR Cumberland - September 26, 2009 - in early May with an opportunity through my employer Coast Mountain Sports. CMS was the title sponsor for the 2009 series and gave 18 employees the chance to do a race. I signed up and was accepted - then the search for a race partner and the start of a training regime began.
First, some background to bring you up to speed.
I am not an athlete. With the exception of sports days I participated in back in the late 1800's when I was in elementary school and phys ed classes in senior high school, I was not an athlete. I was never a runner, didn't play team sports in school. My thing was horses so if the sport didn't have equines involved it did not exist in my universe.
I was a "heavy" kid - you know that "big boned" kid who wasn't obese but wasn't slim either, well, that was me. I didn't trim down until after high school and that was more through luck and dietary changes than through any massive exercise regimen - did I mention I am not an athlete?
A diagnosis of Ulcerative Colitis and then a diagnosis of Ankylosing Spondylitis at the ripe old age of 27ish meant my primary means of exercise was running to the toilet, worrying about colorectal cancer and sitting in doctor's offices, going to physiotherapists, occupational therapists...you get the point. I fought UC for 10 years - it never really went into remission so I was always symptomatic and always losing blood. In February 2001 this nearly ended it all for me as I was admitted to hospital with a hemoglobin count of 57 - it was supposed to be somewhere between 130 and 160 and mine was 57. Severe anemia caused by blood loss caused by UC.
I was hospitalized in an attempt to stabilize the UC and then "scoped" to determine how bad it really was. It was really bad - my entire large intestine was involved, a term called "pancolitis" and it had to come out in order to save me. To make matters worse, the IV I was given during the "scoping" procedure possibly caused a blood clot to form in my right arm - brachial vein thrombosis - from my elbow to my shoulder and about to break off to my lungs by the time I was evaluated by a specialist. While rare, it can happen after an IV if a patient is severely anemic, very dehydrated and very very sick with UC. Like I was.
Problem. I was bleeding out of one end of my anatomy and clotting at another. In order to treat the clot, doctors normally give patients medications that thin the blood, that "bust up" the clot. Problem. I was bleeding out of one end of my anatomy and any treatments for the clot would have me bleed out and die. My large intestine had to go in order to give me meds to treat the clot.
After 10 years of fighting UC I was so ready to be over and done with it I was relieved when the surgeon said they were going to remove my large intestine. Finally, I thought, I'd be "healthy" and get strong and be able to be active and not be chained to toilet facilities and be rid of the pain of UC. It is a very painful disease.
In April 2001 I became an ileostomate. Several weeks after surgery I experienced a life-threatening post-operative complication called a volvulus which killed off approximately a foot of my small intestine and resulted in emergency surgery to save my life. In January 2002 I had another round of surgery to make me a permanent ileostomate, revise the stoma created during the surgery to deal with the volvulus and to remove an internal abscess. Between those two surgeries I dealt with recurring abscesses, sepsis, early stage renal failure, issues from being on a "blood thinner" to heal the clot, post-traumatic stress disorder, and on and on and on.
I will wear an ostomy appliance for the rest of my life.
In November 2006 I had another round of surgery to excise an abscess that formed in my pelvic cavity possibly due to an internal stitch from the 2002 surgery becoming infected and forming a sinus (a cavity). I'll spare you the details of where but will tell you it was so painful I could not sit and was on the maximum dose of T3's and still in pain. Four days in hospital post op on morphine and T3's and then three months with a surgical drain to clear the abscess and finally life goes on.
So, what does it mean to be an ileostomate, you may ask? Well, it means I am alive, which is the most important fact of all. It means I no longer deal with the pain of UC, which is great. It means I have to be very careful to avoid dehydration and have to be very careful to make sure I am maintaining my electrolytes. Why? Well, most people think the large intestine has only one real job. While that may be it's main job, it also is responsible for reabsorbing water/fluids from "waste" materials and for reabsorbing electrolytes. While your small intestine does adapt to a certain extent, it does not replace the full function of the colon so fluid and electrolyte loss is a key concern. This is even more critical in patients like myself who have had a blood clot and who have been through early stage kidney failure - get dehydrated enough and either or both of those could happen again.
What else does it mean to be an ileostomate? It means I have to be careful and conscious about what I eat. I have a different waste removal system than you do. My "waste" is collected in a bag stuck to my abdomen and everything that goes into that bag does so through a small hole in my abdominal wall. So if I don't chew my food thoroughly it can get stuck. If I eat really high fiber foods the undigested fiber can get stuck. If I eat popcorn the kernels can get stuck. Getting stuck means small bowel obstruction which means trip to the ER and a LOT of pain. I experienced this due to post-op swelling and it is absolutely painful and frightening. I tend to avoid this. If I don't drink enough water to help food move through my small intestine it can get stuck.
There is a whole new food chemistry one learns as an ileostomate. Some foods cause watery output (output being the technical ileostomate term for "waste") some foods thicken output, some foods cause odor, some foods cause gas and make your appliance balloon like a life preserver, and each ileostomate has to experiment and see what does what.
And then there is the whole appliance issue. It's a bag attached to my abdomen. Fear number one, the bag falls off and I end up covered in "output"/"waste"/crap. Fear number two, I am not able to empty the bag often enough or soon enough and the seal blows and I end up covered in "output"/"waste"/crap. Fear number three, people can tell I wear an appliance (which is unrealistic but one does develop body image issues when one has been subjected to ostomy surgery and every ostomate must work through these issues at some point or another.) Fear number four, I will never find a soul mate (again unrealistic but I'm allowed those fears.) Fear number five, after several years, many manufacturers and a lot of trial and error, the type of pouching system that I use that works and that gives me good wear time will be discontinued.
So, you ask, does being an ileostomate mean you can't camp/hike/run/race/bike ride/ horseback ride/trek/travel/kayak/canoe/portage/play/insert your favourite activity here? Absolutely not! I have to be careful lifting heavy items - 25 pounds is a rough limit due to the number of times my abdominal muscles have been cut and the risk of hernia that causes - but otherwise I can do whatever I want. I just have to make sure to drink clean water, eat clean food and maintain my electrolytes.
The world is mine.
And the way I look at it, I "lost" close to 15 years dealing with UC and issues related to UC. It's time to catch up on those 15 years. This is why I'm an adventure racer - because I can be one.
This is also why I created this blog. Having an ileostomy is a life-long learning experience. Food, activities, particularly if you factor in training and competing in things like adventure races. How do I eat for a race? How do I eat during a race? How do I eat after a race? How do I keep my appliance on during a long exertion like an adventure race? These things I will learn, and many more, and I will share that learning so somewhere out there another ileostomate doesn't have to start from scratch like I did.
Next post, a wrap up of my MOMAR Cumberland 2009 experience.
See you on the trails,
Barb
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