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	<title>Girl In Motion: A Running Blog &#187; heat stroke</title>
	<atom:link href="http://www.girlinmotion.com/tag/heat-stroke/feed" rel="self" type="application/rss+xml" />
	<link>http://www.girlinmotion.com</link>
	<description>A Running Odyssey</description>
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		<title>Vastly Important New Video</title>
		<link>http://www.girlinmotion.com/headphone-cord-video</link>
		<comments>http://www.girlinmotion.com/headphone-cord-video#comments</comments>
		<pubDate>Mon, 05 Jul 2010 21:19:34 +0000</pubDate>
		<dc:creator>Flo</dc:creator>
				<category><![CDATA[Running]]></category>
		<category><![CDATA[heat]]></category>
		<category><![CDATA[heat stroke]]></category>
		<category><![CDATA[music]]></category>
		<category><![CDATA[pictures]]></category>
		<category><![CDATA[sleep]]></category>
		<category><![CDATA[video]]></category>

		<guid isPermaLink="false">http://www.girlinmotion.com/?p=5482</guid>
		<description><![CDATA[No, this is not another tired video about running drills, nutrition or hill sprints.  It&#8217;s time to get real and tackle the truly important subjects that we, as runners, must face on a daily basis in an effort to make a difference in the sport.  Like neatening up your headphone cord. Note: I feel it&#8217;s [...]]]></description>
			<content:encoded><![CDATA[<p>No, this is not another tired video about running drills, nutrition or hill sprints.  It&#8217;s time to get real and tackle the truly important subjects that we, as runners, must face on a daily basis in an effort to make a difference in the sport.  Like neatening up your headphone cord.</p>
<p>Note: I feel it&#8217;s important to remain consistent in the videos I present to you, so I made sure you get the same low quality you&#8217;ve come to expect.  You even get an added bonus with this one because I didn&#8217;t realize auto-focus was changing the lighting, so crossing my fingers&#8230;no epileptic seizures for you!   Until I get paid for this shyte, I&#8217;m not sweatin&#8217; the particulars &#8211; it&#8217;s just fun.</p>
<p><em>Btw, if you want better quality, change the settings on the video from 360p to 480p (at the bottom of the YouTube playback window&#8230;it&#8217;ll sound way better).</em><br />
<a href="http://www.youtube.com/watch?v=5XlsA6u5gRY"><img class="aligncenter size-full wp-image-5484" title="MP3 Cord Video" src="http://www.girlinmotion.com/wp-content/uploads/2010/07/mp3cord.jpg" alt="" width="450" height="306" /></a></p>
<p><strong>Got My Insurance Bill</strong><br />
&#8230;via email today from the <a href="http://www.girlinmotion.com/heat-stroke-5k-report">heatstroke 5K</a>.<br />
Hospital charges for ER + one-night stay: $34,988 (plus $600 in incidentals)<br />
What the insurance company turns it into: $4760 (gee, somebody must know someone)<br />
What they&#8217;re charging me: $150 in copays and another $150 for the releasing doctor to say I could leave.  The second $150 is total bullshit (I&#8217;m appealing it), as is the whole inflated pricing system.  I really don&#8217;t get the health system and never will.</p>
<p><strong>The Sleep Nazi&#8217;s New Gadget</strong><br />
I&#8217;m <em>loving</em> my new-found affair with sleep &#8211; I swear, I feel rejuvenated and motivated again (thus the new video).   This is serious stuff!</p>
<p>So wouldn&#8217;t you know, after 7 months of nobody living above me, I finally got a new neighbor: a sweet, petite young woman who volunteered she&#8217;s &#8220;never around&#8221;&#8230;music to my ears.  That said, although she steps <em>way</em> lighter then the asshole did, the floors are always going to creak and I can hear stuff through the walls (not just hers).</p>
<p>So&#8230;I ordered this very cool <a href="http://www.amazon.com/gp/product/B000J1UJWE?ie=UTF8&amp;tag=girlinmotion-20&amp;linkCode=as2&amp;camp=1789&amp;creative=390957&amp;creativeASIN=B000J1UJWE">white noise machine</a>.  It&#8217;s got 1000 reviews and people love the thing &#8211; many of them apartment dwellers with my exact scenario.  Granted, I&#8217;m not thrilled about replacing sound with sound, but if it makes sleeping easier and deeper, I&#8217;m all for it.  I&#8217;ll keep you posted when I get it.</p>
<p><strong>The Hot Week Ahead</strong><br />
It&#8217;s going to be a challenge with another heatwave of 100s and 90s.  I  also pulled something in my groin on Saturday&#8217;s run which is still  hanging about despite yesterday&#8217;s rest day, so hopefully it&#8217;ll be fine  by the time I need to run hard, though considering the temps, we&#8217;ll see  how hard &#8220;hard&#8221; is.  I had to bag my hill sprints today which bummed me  out, but I&#8217;ll do them later in the week.</p>
<p>Be careful everyone, get out there early as you can, drink up and  don&#8217;t be macho with your paces.</p>
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		<item>
		<title>A Week Off</title>
		<link>http://www.girlinmotion.com/a-week-off</link>
		<comments>http://www.girlinmotion.com/a-week-off#comments</comments>
		<pubDate>Wed, 16 Jun 2010 21:57:14 +0000</pubDate>
		<dc:creator>Flo</dc:creator>
				<category><![CDATA[Running]]></category>
		<category><![CDATA[heat stroke]]></category>
		<category><![CDATA[mental aspect of running]]></category>

		<guid isPermaLink="false">http://www.girlinmotion.com/?p=5191</guid>
		<description><![CDATA[The NYT had a timely article on recovering from heat stroke that about 300 people sent me in the last two days. :-)  It was debated on the forums whether I had heat stroke or heat exhaustion, though the doctors called it heat stroke, to some it didn&#8217;t sound as serious as that.  On the [...]]]></description>
			<content:encoded><![CDATA[<p>The NYT had a timely article on <a href="http://www.nytimes.com/2010/06/15/health/nutrition/15best.html">recovering from heat stroke</a> that about 300 people sent me in the last two days. :-)  It was debated on the forums whether I had heat stroke or heat exhaustion, though the doctors called it heat stroke, to some it didn&#8217;t sound as serious as that.  On the other hand, I had mental symptoms that are heat stroke related and not in the realm of heat exhaustion (hallucinations and blackout).  Not knowing any of the lab results except creatinine levels, I can&#8217;t supply information to say either way.</p>
<p>Regardless of which one it was, I&#8217;m taking a week off.  This is partly because of the article&#8217;s recommendation, but also due to the crazy panicked thoughts I had while laying there that first hour thinking this was a sign that I&#8217;m a horrible runner, an ego-driven poseur, and should stop racing, possibly even running for a few months.</p>
<p>Lying in that bed, I was devising a Plan B where I&#8217;d become a true  recreational  runner (as in, no longer racing) and how I&#8217;d just go out without training for anything, just to run.  It didn&#8217;t seem like the worst thing in the  world, it even calmed me down, knowing I&#8217;d find joy in that, too.  But it was devoid of &#8220;special&#8221; which made me sad while at the same time, seemed what I deserved, given my quest for special is what got me in the hospital to begin with.</p>
<p>This stuff is embarrassing to admit, btw, because ego can be so ugly, but at the same time, can anyone who wants to win <em>not</em> be driven by ego?  Isn&#8217;t that part and parcel, no matter the level? Even if you remove the prospect of winning, our race times are our badges of success.  Not sure what I&#8217;m getting at here, back to the bed&#8230;</p>
<p>Out of all these contemplations came a few truths.  Like the fact that I&#8217;ve never really stepped back from training since I starting running.  I&#8217;ll take breaks in between cycles but they&#8217;re never lazy breaks, I&#8217;m always at the very least focused on mileage or doing something training-wise to improve.  Maybe that&#8217;s why my speed took a step back this past year, perhaps I got stale.</p>
<p>Also, when I had those hallucinations I thought I might have done something irreparable to myself, and later, when talking to my hospital roommate who&#8217;d been dealing with Lupus and Crohn&#8217;s for 18 years&#8230;well, these sorts of things give a new perspective.  Instead of thinking, &#8220;I have to get back on the road asap, I&#8217;ll take 2 days off but that&#8217;s it!&#8221; which was honestly my first inclination, I am now happily going to sit on my ass for 7 days.</p>
<p>It&#8217;s not about how many miles I&#8217;ll rack up this week (or won&#8217;t) it&#8217;s about being lucky enough to run and race and have all the parts working.  It&#8217;s about recharging.  It&#8217;s about looking forward to the future.  It&#8217;s about running as a way of life and not a weekly mileage/pace victory.</p>
<p>Of course, this Zen zaniness will probably fly out the window on Monday, when I start training for the PhillyHalfDistanceRockMarathonRunNRoll or whatever we&#8217;re calling it these days, but at least for the first time since taking up the sport I&#8217;m able to have these thoughts at all.  I consider this a win.</p>
<p><span style="color: #000080;"><span style="color: #ce077b;"><strong>Edit:</strong> From some responses, I sense I didn&#8217;t write this post very clearly.  For the record, I&#8217;m still into racing 100% and not at all ready to become a &#8220;hobby jogger&#8221;.  And I&#8217;m loving this week off, letting my legs, ankle and brain get some needed rest.  And I prefer white chocolate over dark.  Wait, that wasn&#8217;t in there.  But it&#8217;s true.</span><br />
</span></p>
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		<item>
		<title>Strides For Stroke (aka Heat Stroke) 5K Report</title>
		<link>http://www.girlinmotion.com/heat-stroke-5k-report</link>
		<comments>http://www.girlinmotion.com/heat-stroke-5k-report#comments</comments>
		<pubDate>Tue, 15 Jun 2010 00:04:47 +0000</pubDate>
		<dc:creator>Flo</dc:creator>
				<category><![CDATA[Running]]></category>
		<category><![CDATA[dehydration]]></category>
		<category><![CDATA[heat]]></category>
		<category><![CDATA[heat stroke]]></category>
		<category><![CDATA[race report]]></category>

		<guid isPermaLink="false">http://www.girlinmotion.com/?p=5162</guid>
		<description><![CDATA[In the spirit of the infamous dehydration race report from 2008, we have a new set of firsts: 1. First blackout 2. First memory hole 3. First hallucination 4. First overnight hospital stay 83 degrees, 69 dewpoint, mostly sunny.  From my dewpoint musings post, when adding temp and dewpoint: &#8220;if it’s above 150, forget pace [...]]]></description>
			<content:encoded><![CDATA[<p>In the spirit of the infamous <a href="http://www.girlinmotion.com/my-spectacular-dnf">dehydration race report</a> from 2008, we have a new set of firsts:</p>
<p>1. First blackout<br />
2. First memory hole<br />
3. First hallucination<br />
4. First overnight hospital stay</p>
<p>83 degrees, 69 dewpoint, mostly sunny.  From my <a href="http://www.girlinmotion.com/dewpoint-musings">dewpoint musings</a> post, when adding temp and dewpoint: <em>&#8220;if it’s above 150, forget pace  altogether and just focus on finishing</em>.&#8221;</p>
<p>I got some great advice from running mentor Adam on how to handle the race, as I&#8217;d been freaking about the temps for a few days.  He said bring ice and ice cold water so I did, stashing them in a bush for after the warmup.  Brilliant call on the ice, btw, I suggest everyone do that in summer races.</p>
<p><strong>The Warmup</strong><br />
I go out for a little over a mile, do 4 strides and as usual, they&#8217;re slower than shit, about 30 seconds away from my usual stride speed which always happens pre-race but I never get used to it.  &#8220;At least I won&#8217;t have to worry about leaving the gate too fast&#8221;, I think to myself.</p>
<p>As I return to the clump of people standing around, a teenage girl wearing a walker t-shirt calls to me, &#8220;Miss&#8230;Miss, is that water on you?&#8221;  I&#8217;m not sure what she&#8217;s talking about, then I look at the thick suit of sweat on me and laugh, &#8220;Yep, it&#8217;s hot out here!&#8221;</p>
<p>I go to my ice stash and coat myself with a few cubes, stick a couple in my sports bra, drink some water, visit the porta-potty and line up.   It&#8217;s an out and back on the usual race course by the museum, so I know what to expect.  Small field today, more of a walker event.</p>
<p><strong>Go!</strong><br />
I look down at my Garmin and think I see 6:59 and I get pissed with myself, but then look again, realizing it says 5:59.  I have never done such a stupid start in my life, didn&#8217;t think it was possible with that sluggish warmup so maybe it was Garmin acting wacky, still, I slow down and the first mile clocks in at 6:40.  Just right.</p>
<p>There&#8217;s only one girl in front of me, a young thing, and I pass her around the 1/2 mile mark, then realize, &#8220;Wow, if I can keep this up, I can win this thing!&#8221;  There&#8217;s a water stop at the turn-around point and I take a cup of water and dump it on my head (again, as per Adam&#8217;s stellar advice) &#8230;ahhh.</p>
<p>The folks going the other way are yelling out at me &#8220;first woman, wooohoo!&#8221;  &#8220;you go, girl!&#8221; and other fun stuff like that.  I have to admit, it&#8217;s a fantastic feeling.  Second split clocks in at 6:48.</p>
<p>I&#8217;m definitely hurting at this point, but I want to win, dammit!  And I wish I had eyes in the back of my head so I could know what kind of lead I have (didn&#8217;t think to watch for gals at the turnaround).  I&#8217;m slowing and I see guys in front of me stopping to walk but I barrel on, thinking, almost there, just a few minutes more, but at the same time, &#8220;man, would I love to stop.&#8221;  Nothing that I don&#8217;t think at least twice in every 5K.</p>
<p>Then, out of nowhere, my legs go jello, I stumble and fall on the ground &#8211; that same knee that&#8217;s opened up twice already, gets it again.  Another racer is at my side in a heartbeat wanting to help me up, but I wave him away saying, &#8220;You go ahead, I don&#8217;t want to ruin your race&#8221; but he tells me &#8220;This race doesn&#8217;t mean anything, c&#8217;mon, we&#8217;ll run in together&#8221;.  So I get up and slowly we go, then I remember stumbling again and my next memory is in the hospital being lifted from the stretcher to the ER bed.</p>
<p><strong>What I&#8217;m told happened</strong><br />
Until this afternoon, I thought I had a DNF, but  when I got home, I called the StridesForStroke place and spoke to a girl who was there and who gave me the lowdown (what she missed, her parents saw). I crossed the line with the help of that guy and whoever was standing there.  Then I went over to the sidewalk and I collapsed again, they put me on a chair, then they put me, still sitting in the chair, into an ambulance.  Now that she explained this to me, I&#8217;m just this evening remembering little tiny snapshots.</p>
<p>Btw, someone from the race called me while I was in the hospital but I didn&#8217;t think to ask about what happened.  Nice of them to check on me, though.</p>
<p><strong>The Hospital</strong></p>
<p>Once in the hospital bed, I didn&#8217;t realize till an hour later that I had a big memory hole.  I was too freaked because the 3 friends I could call to get me were all out of town, I didn&#8217;t have a cent on me or a phone and I felt utterly alone.   On top of it, I was thinking, &#8220;This is humiliating, that&#8217;ll teach your stupid ego, you should stop racing for a few months, maybe even forever, you really have no clue of what you&#8217;re doing, blah blah&#8230;&#8221;</p>
<p>About an hour later, I was able to compartmentalize this where it belonged, as a medical/heat related problem and not the end of my racing &#8220;career&#8221; but it was breaking my heart up until then.</p>
<p>Meanwhile, I was in a bad way physically, they don&#8217;t give you water for a while and you&#8217;re dying of thirst, plus I had a fever so I felt like death, wanting to barf, too.  They gave me ice to suck on and I started to feel a bit better, eventually everyone dispersed.  A short while later, I start to see things.</p>
<p><strong>Hallucinations</strong><br />
It&#8217;s no secret I&#8217;ve had my sampling of recreational drugs but never have I had &#8220;visions&#8221;.  This scared the shit out of me more than anything.   It was like smokey gray dancing ribbons everywhere I looked, ghostly because you could see through them.  I called for the nurse thinking I&#8217;d fried my brain or my eyesight, but she told me it&#8217;s normal when dealing with exhaustion.</p>
<p>They gave me tons of tests and took chest x-rays.  I&#8217;m told I have serious heat stroke, am profoundly dehydrated, my lactic (lactate?) acid is extraordinarily high and they&#8217;re concerned about my kidneys.  So I have to stay overnight.  Super duper suckage bummer of the universe.</p>
<p>On a cute note, everyone was taking a big interest in my plight, the doctors and nurses had running/racing stories and called me the &#8220;athlete&#8221;.  One of the doctors sent in another doc, a 3-time Ironman, to chat with me who told me my case was cool.</p>
<p>Note: The resident that eventually was assigned to me didn&#8217;t even think I should stay overnight.  She thought I would be fine to go home and that my levels would return within hours, which they did, but she didn&#8217;t have a say-so in it.</p>
<p><strong>Overnight Stay In Cardiac</strong><br />
My nurse in cardiac had done a tri-relay with her sisters and was thrilled to have me.  She was a nutritionist and wouldn&#8217;t stop giving me advice, some of it quite loopy, like next time I race I need to fill a camelback with Gatorade.  She also told me a couple times that I&#8217;d approached acute renal failure but when I asked the doctor,  the doc said, &#8220;WHAT???  That&#8217;s not true, she had no business saying that&#8221;.  How&#8217;s that for weirdness?</p>
<p>My roommate was an obese woman with Lupus and Crohn&#8217;s disease, a funny lady, though we talked through the curtain most of the time.  The only bad thing was she slept a lot but left the TV on a channel that alternates Jerry Springer and Maury Povich for hours.  That was hell.</p>
<p>I was monitored all night and this morning got an echocardiagram.  I should have been able to leave early but had to wait for the main doc to start his shift.  So at 3pm I took the &#8220;walk of shame&#8221;, not in high heels and evening wear, but sports bra, shorts and racing flats.  Just as pathetic.  At least I&#8217;d removed my bib.</p>
<p><strong>My thoughts</strong><br />
Yeah,  I pushed, but it drives me nuts that I couldn&#8217;t tell the difference between normal 5K suck and heat suck.  I was asked if I had chest palpitations or any other warning signs but I didn&#8217;t.</p>
<p>As for the dehydration, I had a couple glasses of wine the night before (not so good) but also a few non-caffeinated sodas and some water.  Drank a huge glass of water a couple hours before the race and water when I got there.  What I&#8217;m kicking myself for was not taking <a href="http://www.succeedscaps.com/main_scaps.html">S-caps,</a> I keep forgetting to use them this summer &#8211; <em>most </em>idiotic, I would have avoided the whole scenario if I&#8217;d taken them (or any other type of electrolyte/salt thing).</p>
<p>Other than that, I think my furnace burns hotter than most.  I&#8217;ve always thought that and here&#8217;s why:  I would like nothing better than to run in sportsbra/shorts at 65 degrees.  The women where I run won&#8217;t wear them until it&#8217;s near 80.  I would die.  It&#8217;s a little embarrassing to be nekkid compared to everyone else, but I &#8220;allow&#8221; myself to wear one as soon as it&#8217;s 70 degrees.  In fact, when it&#8217;s 65, I actually wait for it to get to 70 so I don&#8217;t have to wear a sopping wet singlet.</p>
<p>I asked a couple docs separately about this today, wondering if maybe it could be due to perimenopause (sorry folks, this is unsexy talk and I hate it because it shows my age, but it&#8217;s my reality).  Both doctors said it very well could be.</p>
<p><strong>HTFU?</strong><br />
I <span style="text-decoration: line-through;">wanted to do </span> was making myself do these summer races because I felt like a whiner and excuser when I bitched about how I don&#8217;t handle heat well, especially when everyone goes &#8220;hey, it&#8217;s only a 5K!&#8221;  The whole point was to harden up, but I think I&#8217;m confusing guts with self-knowledge, something I seem to lack.  Maybe time will give me that.   Until then, I guess it&#8217;s my achilles heel.</p>
<p>On the good note, even with the silly start and soap opera finish, it was an improvement over the last 5K and in worse conditions.  But what to do now?  Do I really want to &#8220;race for fun&#8221; in 80 degrees?  That&#8217;s an oxymoron.  I&#8217;d hate racing at partial capacity and getting beat.  Stupid ego.  Guess I need to set a temperature limit at which I won&#8217;t race (which, if I had my druthers would be 65, but then I won&#8217;t be racing much).</p>
<p>Anyway, I&#8217;m fine, so no worries &#8211; a little weirded out but none the worse for wear.  Thanks for reading this ridiculously long report.  And to think&#8230;it was only a 5K.</p>
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