• Marathon Training Week 16 Recap: Running Scared

    16 by  Karen_O'D from Flickr (Creative Commons License)
    16 by Karen_O’D from Flickr (Creative Commons License)

    If you’ve been following my journey towards running my first marathon, you know that a few weeks ago my cardiologist diagnosed me as having 2 holes in my heart. He said I can keep training and do the race as long as I can manage the symptoms and I don’t have a stroke.

    Knowing that I have a potentially serious cardiac condition makes me nervous about running, but not enough to make me stop. I am much more mindful about where I run because I don’t want to find myself getting into trouble and being more than a few miles from home or my car. I’m more likely to choose a route that involves running loops close to home or running on the treadmill or elliptical. I definitely never leave the house without my Road ID on my wrist.

    My Medications - Dizziness WarningsOne of the challenges of having this condition and being on my medication is I never know how I’m going to feel day-to-day. Last week I ran over 20 miles, and I felt like I could have run another 5 miles if I needed to. A few days ago, I had to stop running after 1.5 miles on the treadmill and finish my workout on the stationary bike because I was too weak to run anymore. Some days I feel great and other days I’m weak and prone to dizzy spells. (I recently noticed that all 3 of my medications have dizziness as a side effect.) I really hope I don’t have a bad day on race day, because there’s a good chance I’ll be riding the golf cart to the finish line.

    Every time I suit up to workout, part of me is afraid of getting to weak or tired to finish my run or worse. I prefer not to collapse or have a stroke. I don’t need road rash or a treadmill burn on my face and I’m clumsy enough without adding in a semi-permanent weakness in half my body. I wonder how being on a beta blocker impacts my workouts, since I think it’s keeping my heart rate from rising like it would in a non-medicated person. My teammates warn me to “Listen to your body,” but they know I’m stubborn and it’s hard not to push through when I can. But I know the big goal is to run the Rock ‘n’ Roll Marathon, and that might mean I have to take it easy a bit in my training to make sure I make it to race day.

    2013 Post RaceThis week I opted to ride the stationary bike at the gym for an hour while reading my book and checking social media for cross training. It was pretty boring but I cranked out 15 miles. (I can’t wait ‘til it’s warm enough to ride outside again.) It made me miss the aerobics classes I used to take when I belonged to a gym. I’d buy a day pass for an intense step class. (I’m sure my cardiologist wouldn’t support the idea of me taking an intense step class, but it’s fun.)

    I have good news in regards to race prep – I ordered my base shirt so I can have Brand X make me another custom running shirt for the race. They did a great job with my Masochist/Run Bitch shirt the last time I ran a half marathon.

    Weekly Totals:
    Running:  5 miles
    Elliptical:  20 miles
    Biking:  22.5 miles

  • 14 by Steve Bowbrick from Flickr (Creative Commons License)
    14 by Steve Bowbrick from Flickr (Creative Commons License)

    For those of you who have been following along, my marathon training program for Rock ‘n’ Roll Arizona 2015 has not been going to plan. So far there has been chest pain and night sweats, medical testing, finding out I have 2 holes in my heart, 2 new medications, and walking my mile for the last 3 weeks. Many of my teammates have suggested that Rock ‘n’ Roll Arizona 2015 isn’t my race, but it looks like my race might be salvageable.

    Last week had a disappointing start. I tried to walk 5 miles on Tuesday but I was so tired and weak that I could only manage 3. I didn’t even bother trying to walk the 9 miles on my marathon training program on Wednesday.

    Thursday morning had me back in my cardiologist’s office for my test results. That’s when I found out that I have 2 holes between my atriums and he put me on a low-dose beta blocker and referred me to another cardiac specialist to determine if having atrial septal defect is causing my problems. He also said I could run again. I managed to run/walk 5 miles on the treadmill that evening in just under an hour.

    I was scheduled to run 14 miles on Saturday and my plan was to run on the treadmill at my complex again so I wouldn’t be far from home if it got too hard to I started having chest pain. To my dismay, both treadmills were not working. (What are my HOA fees paying for again?) I opted to do my miles on the elliptical in 2 sets of 7 miles. My toes were numb and my legs were a little wobbly by the end but otherwise it was fine. I finished in just under 2 hours. My pulse never felt like it was getting excessively high.

    I’ve become such a wimp about the cold. Earlier in my training I was off cross training on my bike at sunrise, but now it’s chilly in the morning. It was sunny and warm by the afternoon but unfortunately I had other obligations then. (I should probably adjust my schedule when I can if I want to work out outside.) Instead I hit the gym at my condo again and did 7 miles on the elliptical.

    Next week, I’m scheduled to do 2 5-mile runs, a 10-mile run, and a 20-mile run. My plan is to run/walk all of them in the real world, but I’m considering finding some type of loop for the 20-mile run so I won’t risk getting into trouble and being 10 miles from home.

    Totals for the week:
    Running/Walking/Elliptical: 29 miles
    Biking: 2 miles

  • I Still Have a Defective Heart

    Atrial Septal Defect - Image from Wikipedia (Creative Commons Image)
    Atrial Septal Defect – Image from Wikipedia (Creative Commons Image)

    Let me start this post with a correction: I misheard my cardiologist last week. I thought he said I have a ventricular septal defect. He actually said I have an atrial septal defect. Today when we went over the results of my tests, he told me I have, not 1, but 2 holes between my atriums.

    The human heart isn’t that big. How is it possible that I have 2 holes in one little area?

    The rest of my tests were unremarkable. Nothing unusual showed up when I wore a heart monitor for 24 hours and my stress test looked good. Overall, my doctor is unsure what’s causing my symptoms – the chest pain, the fatigue, and the night sweats. He prescribed me a low-dose beta-blocker and said I can go back on ibuprofen for pain. (Yay!) My beta blocker dose is so low my pharmacy had to special order it. Since I’m so small, my doctor’s having me only take half a pill every other day for the first five days to see how I adjust to it. (He said it could make me tired.)

    My cardiologist also referred me to another heart specialist to evaluate whether my heart defect is causing my problems and whether they should be surgically sealed. Apparently this guy specializes in these types of defects. I hope it doesn’t take weeks to get an appointment. If my defect should be patched, they go in through the groin, not open heart surgery. That was good to hear.

    My doctor said I’m allowed to try running again. I was pretty nervous to see how my stamina is after not running for nearly 3 weeks. I was slated to do 5 miles today and I opted to do it on the treadmill where I could control my speed. I ended up doing a run/walk combo and finished in 53:58. I think that’s a good start. My chest hurt a little bit at first but settled down by mile 3.

    I’m scheduled to do 14 miles on Saturday and I think I’ll do it on the treadmill again where it will be easier to manage speed, take breaks, and have snacks. For now, my plan is to keep following my marathon training program, but modify it by walking and running my miles as needed.