Thursday, June 6, 2013

Going to the edge. And beyond.

I thought this would be the easiest blog I've ever written. I've got such great material afterall. It's not every day that one experiences heat stroke and seizure. It's blog gold! I've gotten to read a bit on the subject in the last week, and what I went through is classified as "Exertional Heat Stroke." It can occur under any conditions, but most often in hot and/or humid conditions when rate of exertion is high for a long period of time.

The hardest part about this is where to start. I had a great swim, exiting the water right behind my teammate, Joe Maloy, and right in front of 4-time Olympian Hunter Kemper. We got out on the bikes after a very long run through transition and I slowly lost contact with Joe, Cam Dye, and Hunter. I felt ok, but not quite as powerful as I'm used to in training, despite getting a solid warmup. I pushed myself and had Coach Paulo's words in my head, "hold the gap, keep pressure on." I became aware of my calves cramping halfway through lap two of four, but I didn't think much of it, and quickly drank my bottle of sports drink. When I came off the bike, I had lost some time, but was in 6th place, and I was ready to chance down 5th, maybe someone else if they died.

The first lap I was aware of some odd sensations, but I was determined to push through, and I thought the first 3 miles went alright. I certainly wasn't running as quickly as I had planned, and Matt Reed had passed me, but I thought I could pull him back. Right about mile 4 things started to really fall apart. My legs were starting to buckle occasionally, and my pace had slowed considerably. I wanted badly to walk and stretch for a moment, but after my DNF at Huatulco the prior weekend, there was absolutely no way I was going to stop and risk not starting again. 

As I headed across the bridge with 2 miles to go, I could see Matt Reed in the distance, steadily pulling away and I finally let go of the thought of catching him and started thinking about  holding 8th place. Or 7th place. I really couldn't remember anymore, I just needed to get to the finish. At one mile to go I remember seeing Brandon Marsh, who told me I had 8th locked down. I wondered if I looked as bad as I felt. Worse maybe. With a half mile to go I remember the photographer on the bridge. That memory may be from lap1 though. The next thing I remember is running through the event expo, which was in the field parallel to the finish line. I had run around 100 meters off course without even realizing it and now had to run back to the road. I remember thinking, "If Manny Huerta passes me because of this I will be so pissed." I'm not sure why I thought of Manny, except that he was the last person I saw on course.

I have a brief flash of memory of collapsing at the finish line. Literally the blink of an eye. Colin O'Brady, a good friend and  fellow Pro, was at the finish line and later filled me in on what happened next, as I have no recollection of the following 20-30 minutes.
 I lay on the ground where I fell for a couple of minutes before volunteers realized I wasn't just "doing the triathlete thing" and being really tired. Six volunteers picked me up and put me directly into a kiddy pool full of ice. Apparently I was moving and feebly trying to splash water into my mouth. I registered an oral temp of 102.5, which was most likely a bit lower than my actual temperature, as they had been splashing ice water all over my face.
When I finally gained consciousness (in my mind no time had passed) I was lying on a table of some sort and a huge dude with forearms of steel was massaging my calves, which were cramped up like rocks. The pain was unreal and Colin says I was screaming at the top of my lungs. I must have blacked out again because the next thing I remember was being loaded into the ambulance. That is when the real hell started.

The EMTs got IV's into both of my arms and got me hooked up to oxygen I think. I was begging them to put me out because the pain was so bad. I was tearing up I wanted it to be over so badly. They kept telling me I'd be fine as we started driving towards the hospital. I kept thinking if only I could pass out again I would be fine and could just skip all this. Be careful what you wish for.

I started having real trouble breathing, and that coupled with the cramps made for the most discomfort/pain I have ever been in. It was like the worst searing pain I have ever felt at the end of a hard interval session multiplied by 10, and I could do nothing to make it stop. Ever more hopeful for blacking out, every time my lungs managed to sneak a breath I would think, "Great, there's another 30 seconds I have to suffer." Finally I started to become euphoric and I realized I hadn't breathed in a long time and I don't recall feeling my heart beating. It had occurred to me that  this wasn't how I had gone out prior to being in the ice bath and that this was more likely my body finally quitting. It had all the characteristics of death as I had heard or seen it portrayed and I figured this was my goodbye to the world. The euphoria made me accept it for the most part and just before it all went dark I heard the EMT say, "O my God, is he not breathing?" He shook me, yelled at me, and peeled my eyes back. No response. "I think he may be having a seizure." I thought, "No dude, I'm dead."
Before things got bad.

 GAASPP! I came to just like every dramatic scene from the movies when someone "comes to".  Colin later filled me in that I had been seizing for a couple of minutes and that the ambulance driver had gone Formula 1 and fired up the lights to get to the hospital ASAP.
I lay stunned, staring at the lights in the ambulance, unable to formulate a single thought, sucking in oxygen as fast as I possibly could. The EMT started asking questions and all I could get out was "yeah" I knew where I was. They made it to the ER, got me a nice room full of doctors with needles and more questions, and began dumping more IV fluid into me, a theme that would continue until the next day, when I had taken on a full 6 liters. I was real thirsty.

Still feeling pretty braindead here.
Joe, Brandon and Amy Marsh, and Colin all kept taking turns sitting with me and asking questions of the doctors that I was in no condition to come up with on my own. I can't thank them all enough for going through that with me, especially Colin, who was there with me during the incredibly scary 10 minutes in the ambulance.

I hope to never experience this again and I am taking things easy getting back into training, reading a lot about heat stroke in the meantime. Coach Paulo has devised a plan for keeping my core cool before the race start and we are examining every detail of the leadup to the race to find the cause of my episode.

I am very glad I finished the race, ending up 8th, my best finish to date. Once I figure out my heat issues, I've got top 5 no problem. Thanks to Athletes Lounge, Rolf Prima, and USA triathlon for supporting me as I grow from every race, and every day of training. I couldn't do this alone.