It’s 7:05 pm on Tuesday.  I wrote this post during the day and was going to release it tomorrow morning.  I was in a pretty good mood while I was writing.  This morning was a sweet 8-miler, in the afternoon I had an excellent voiceover job and about 30 minutes ago, I ate a good dinner.  Then the race photos came out.  I could make you hunt for my number but I know you’ll find them anyway.

It’s 7:13 pm on Tuesday.  I’m sitting with a huge glass of wine and will get very drunk tonight.  I can now see exactly what happened on Sunday, or at least, the finish line portion.  There was a preamble preceding that part of the horror show that I will conveniently get to forget because nobody was taking photos.  But there is the afterwards: a fake smile on a twisted body.

It’s 7:22 pm on Tuesday.  I’m thinking about the nice man who helped me across the finish line and whose own finish photos are completely ruined and will be in the Lost and Found section since you can’t see his number.  He’s too busy helping that stranger get to and across the finish line.  A very nice man.

It’s 7:28 pm on Tuesday.  I want to find a hole and sink into it for a long, long time.  Who is this person?  It’s me

Earlier that day…
First off, I seriously cannot thank you blog readers, Facebook friends and 3:20 buddies enough for all the kind and insightful comments you’ve left.  After reading through the responses, particularly those coming from doctors (so handy to have 3 online Dr. friends posing as normal people) I’m convinced that it is indeed something in my body not working properly.  So I made an appointment with my doctor for Thursday evening and will let you guys know what’s up on Friday’s post.

Witnesses
I could not believe that in that sea of race humanity, 3 people who know me saw me stumbling to the finish.  And I’d only ever met one of them!

Jenn, my local friend who was volunteering saw me at the finish line, saying in the last post’s comment “I was really scared for you when I saw you starting to sag, stumble and almost go down 15 feet from the finish. Thank goodness that guy was there to bolster you.”

Then Peggy, a Facebook friend and new gal to Philly whom I only just met today (though in a strange turn of fate, she also saw me that day I had fallen after seeing the dead fox) was there to see me stumble in mile 13.

And lastly, Cathleen who reads this blog (who should have introduced herself to me at the Expo!) ;-) emailed, “I just read your race report … I’ve been waiting for it because I unfortunately saw you go down right after mile 13.  What I saw happen out there today looked like someone fighting with their body & their body was winning.”

Thank you ladies for adding onto my impressions of what I felt and saw.  There’s something comforting in the thought that I wasn’t all alone in the midst of that.

Noake’s “Central Governor”
Julie brought up a great point in a comment, that of Noake’s “Central Governor”.  He contends that our brain knows when we’re going into redline mode and automatically adjusts to protect our organs from failure.  I mentioned that it seems like I’m missing the “red danger signal” , but when I spent real time going over how this happens and what happens beforehand, I realize I’m not missing this at all, I react the same way everyone else does: I slow down.

That’s the Central Governor at work, the mechanism Noake’s speaks of that naturally protects us from overload.  That would make the loss of leg control and collapsing a separate issue since, if my body was like everyone else’s, my paces would simply fall further and I’d continue at the lowered speed.  What’s more, if it was a matter of stubborn determination causing these “spells”, I’d have lots of company stumbling along with me, since I’m positively not the most determined runner out there.

So What Could It Be?
It’s good that dehydration and excessive heat are not part of the picture this time as it removes those variables.  Btw, I don’t believe 70 degrees was excessive for me, I’ve been running hard all summer in much hotter weather than that.  Also, I looked up blue lips and it’s not tied to dehydration or heat sickness.

I’ve had a couple comments and an excellent private message from sufferers of exercise-induced asthma – the symptoms seem to fit well: labored breathing, excessive sweating, even blue lips for some.  This makes sense to me because the way my breathing sounds is like someone about to bonk, though I can keep going for miles like that.  The only thing that doesn’t compute for asthma is then why doesn’t this happen during workouts?  It seems as though I’d experience it at least occasionally during a hard workout.

My 3:20 doctor buddy Dan says the lips and sweat point to an inability to control temperature and he and Melissa (yet another doctor pal) are insistent on a treadmill test.  I will definitely ask for one, though I’m not convinced it’ll find anything, only because A) this happens after some time and I’m not sure they’d keep me on there that long and B) When my ex, Nick, got a stress test, they didn’t find some truly serious heart blockages that only days later required an operation to have 3 stents put in.   But I’m game for it and will insist when I speak to my doctor.

What It Isn’t
I got a private message from a well-meaning Facebook friend saying this was all in my head.  I realize that our online world is a strange place, none of us really knows one another, though the one thing I think is clear from my writing is that I’m about as pragmatic and self-investigative a person as you are likely to find.  I consider every angle including the ones that don’t leave me in the best light and this includes psychological components.

No way in hell was this is in my head or, as he suggested, a vestige of post traumatic stress from June’s 5K.   It’s a physical matter of blood or oxygen not getting to where it’s supposed to. I am sure of it.  The question is, why?

20 Responses to “Tending To The Monkey”

  • Damn, Flo. Figure this out. Please. Too much talent and dedication are being wasted until you do. And, as for the race photos, the only silver lining I can offer is that this is the second race where you can have no self-doubt as to whether you had anything more to give on the day.

    Peace, Ron

  • Tobes:

    Flo, I don’t know what else to say, except I feel for you. I think you know the physical troubles I went through earlier this year, (if not, PM me and I will tell all). I never did get a definitive answer, but I am coping. I guess my only saving grace was that the emt’s only picked me up in front of about 50 people instead of thousands, but it does give you that horrible self-doubt and helpless feeling. Darn mortality anyway. Take care, and I’m sure you’ll keep your adoring fans updated
    {{{{{{{{{{{{{{{{FLO}}}}}}}}}}}}}}}}

  • Melissa:

    I have to write to you on your blog since they blocked fb at work. It’s like that country song, “She took away my car keys, but she forgot about my old John Deere!” You’re right, stress tests aren’t very accurate. The myocardial perfusion ones are more accurate. I was thinking it may pick up an arrhythmia, maybe brought on by an elctrolyte abnormality, or maybe you need a Holter monitor. There is another test to look for any coronary artery calcium. It’s a CT scan of your coronary arteries. It was $149 here, last I heard. I don’t mean to tell you what to do. I just fret… :)

  • Steph:

    Flo so sorry. That man was very very nice to help you…one of these days you’ll get a really good race photo :) I hope whatever this is, you get it straightened out soon so there will be no repeat in Novemeber

  • Keep at it kiddo – anxious to hear about your doc visit on Thursday (and really jealous I couldn’t have come down there and seen you BQ gals…)

  • This may be vapid and small consolation, but your abs look fantastic in these photos.

    It is not in your head. What a dopey comment. :)

    I’m interested to read more about your/the doc’s musings on the matter. BEST of luck figuring it out.

  • ((hugs)) keep your head up girl! i’m keeping you in my thoughts and sending mucho good vibes your way. you will get through this and it is NOT in your head. that person is an idiot. i’m really interested in what the doc says. hopefully you can get some answers. sometimes not knowing is the absolute WORST thing ever.

    and i agree the cathleen that you abs are rocking :)

  • rovatti:

    A few half-baked thoughts – take them with a grain of salt.

    A treadmill stress test will be a joke for you – you run harder than that every day – I doubt you have coronary disease.

    IMO, 70 degrees is still pretty warm for a long race.

    Somehow you go from normal race exhaustion to real trouble more precipitously than normal.

    You might find a concrete medical diagnosis, but you might not (maybe things will just be “ruled out”).

    If no solid diagnosis comes up, I would still be cautious for a few races. Maybe it would be good to race more frequently and at just 95% effort. In fact, I think this would be a good strategy for myself, as it seems that “having a good day” (for whatever reason) is more important than that last iota of effort. In other words, once the training is there, just take more swings with the bat without trying to hit a monster home run.

    Best,
    - rovatti

  • Flo, I’m sorry that the monkey is gripping your cute little (emphasis on cute and little) back right now, and I agree that your abs look great in the photos;) I’m relieved to hear you’re going to see the doc. Hopefully, they’ll uncover something that gives you some answers. I’m leaning toward the exercise-induced asthma diagnosis, myself. FWIW, I absolutely freeze my ass off after just about every race I do, especially on super hot days. Not sure what the cause of that is–probably super elevated body temperature or some such. My lips typically don’t turn blue, though they have before. Anyway, get yourself poked and prodded and keep us updated on your prognosis.

  • Ewen:

    Flo, that video was scary. You’re lucky that bloke was near you and quickly realised you were in trouble. I think it might have been skinned knees or worse otherwise.

    The treadmill test is going to be a hard one for the reasons you’ve mentioned. I really hope you get an answer soon. Another anecdote – similar but different to your case… I know a runner who used to suddenly lose control of her legs – she’d be running normally and then be stumbling. It was a “nerve thing” – like a nerve near her knee would suddenly pinch due to the stress of a race. It never happened in training. Not sure how she got over it, but she did and ran some fantastic PBs.

  • No words of advice. I just want you to know how special you and how much I admire you. #1 You may feel like quitting, but you are not a quitter. #2 You are a hard, hard worker and an INCREDIBLE person. #3 You are worth every dollar of medical testing needed to figure this out. #4 The man who said this was in your head is an IDIOT, bless his little heart. He obviously does not know you. #5 Meeting you this weekend far exceeded my expectations and I love you dearly :) :):)

  • Nina:

    Flo,

    On one picture I was able to zoom in on the bib # of your angel. It’s #2800 and looking up his finish time is around yours so it looks like it’s him. I don’t want to post his name here but you can look it up. Thank god he was there to catch you. I’m sure with a facebook search or something you can find him. Take some advil for your likely blistering wine headache, and keep your head up!

    Nina

  • Good luck with all the investigation and your visit with the doctor. I hope they are able to figure this out and conquer it! I suffer from asthma and it can be sporadic. I don’t have a lot of problems running but put me on my bike with a large hill and I am toast. Go figure!

  • Scott Brown:

    Flo, while I of course can’t know what happened there, please tell your Doc that you have lossed a bit of weight lately that may have had something to do with it, I have had some strange things happen to my body since taking up this sport and know it’s important not to dismiss any of them as “in the mind.”

    All the best

    Interested to know how things turn out

    takecare

  • AR:

    For what its worth: in the years I’ve had EIA, I think I’ve had two or three hard workouts that have been hurt by training…but probably a dozen races. If not more. In high school I blacked out four times…but almost never had an issue practice! It always made me wonder if it was all in my head despite the physical symptoms making it clear it wasn’t. After speaking to someone last year it made a bit more sense: if its a mild enough case that there are specific triggers, the stress from a racing environment can be a enough to tip the balance, for what its worth. ::shrug::

    You’ll figure it out! I don’t “hope,” because I know you will. ;)

  • Flo, stress levels are higher in racing, particularly in the last few minutes – when did you last approach HRmax during a workout? AR’s experiences would square with that. I’m wondering about your earlier incident during that 5K. Could that have had the same root cause? Meaning that either they were both heat-related of both respiration-related. If respiration-related, then perhaps heat make it worse. Just throwing it out there.

  • Ela:

    I was so looking forward to a great race report. Sorry you are going through this. I think I have mild EIA. However, contrary to you I am a wimp and it has not caused any serious troubles besides wheezing for some races. And maybe there were very few were I almost faded just after the finish. That was after an almost blowout during TKD training were I realized I have to force myself to keep breathing if I get into these troubles. I think that was what helped to not fade after those races. Can you at all remember if you “forgot” to breath when you stumbled or if it felt like not breathing would be a relieve?
    AR is making a good point about the added stress of the finish line coming in sight.
    Anyways (((((hugs)))))

  • oof. That guy is pretty hot though. And clearly pretty nice. :) Good luck today ((()))

  • Scott:

    Holy crap I’m in your video. I’m the guy in the grey shorts and white shirt to the right of the screen at the very beginning.

    I nearly fainted after crossing the finish line. Never pushed myself so hard in a race before.

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