Showing posts with label Nausea. Show all posts
Showing posts with label Nausea. Show all posts

Tuesday, August 29, 2017

Lean Horse 100: Life is hard, Running is easy

I clicked off my headlamp and looked at the swirling stars above. Then I leaned over the side of the trail and threw up. This had been going on for too many hours to count. And it didn't matter anyway. I was alive. Vomiting, but alive, and somehow I was managing to hang on.

Still heaving, I started moving again. It was cold enough that I could see my breath in the air, and I knew I couldn't stop for long. Movement was the thing that would keep me warm. All I had to think about was this step, and then the next one. I didn't even think about how far away the next aid station was, or the finish line. There was a simplicity to boiling everything down to practically...nothing. And in spite of all that had gone wrong, there were still so many things that were going right. I could honestly say that at this moment, I was happy. There was nowhere else I wanted to be and nothing else I wanted to be doing. Just this: right here, right now.

*****

Going into Lean Horse 100, I knew it was my best bet, or perhaps only bet, for finishing a race that was a hundred miler in its own right. I'd covered the distance once before, during 24 hours at Across the Years. But at my subsequent attempt-- Javelina Jundred last fall-- I found myself face down in the desert just 66 miles into the race, and I'd taken my first ever DNF.

One thing that gave me some confidence was that training had been much more consistent for Lean Horse. Which is to say, I had managed to stay injury free. I began increasing my mileage in January, slowly and steadily, and by March I staying strong with solid 50-60 mile weeks and no need to drop down. I did some higher intensity weeks--including pacing Rob overnight for the last 38 miles of Kettle Moraine 100, and a 44 mile solo trek (for my dyslexia charity run, maybe someday I'll write about that) in the thin air of the rugged Colorado Trail. During peak training week, I hit 90 miles for the first time in my life-- celebrating at the top of Hope Pass (also my first time running at over 12,000 feet of elevation) with Rob and Team Steph.



I was uninjured and reasonably well trained. Nothing in my work schedule prevented me from doing this. It was now or never. The problem was...did I really even want to attempt a hundred miles?

I kept thinking about all the reasons why I had quit Javelina, and I knew that nothing had changed. The emotional baggage that had caused me to panic in the desert-- still there. The unrelenting nausea and vomiting that takes hold of me sometime between 8 and 12 hours into a race-- I'm nowhere near to figuring that out. Even more than these factors, I also knew that I'd have to be prepared to run this race alone, with no pacer. We didn't have anyone to go with us, and we would have needed at least one other person to drive Rob to the check point (Lean Horse is an out and back course) and then take care of Will for the rest of the night so that Rob could pace me. I had absolutely no assurance I would be able to finish, and in fact, almost every reason to believe that the same thing that had happened at Javelina would happen at Lean Horse. I didn't know if I would ever be able to recover from a second DNF.

I think I reacted to this stress by turning off everything, and just remaining in this almost Zen, emotionless state during the weeks leading up to the race. I still felt an uncharacteristic lack of emotion as I methodically chewed a peanut butter and jelly sandwich at 4:30 on race morning, as I stood shivering on the start line watching the sun rise.

Start line (Photo by Rob)
Then all of a sudden, we were off. Wasn't there somebody once who said 100 miles is not that far? I figured I would disagree with him by the time this thing was done.

The race was on a rails-to-trails gravel path, which is basically my kind of turf. Not technical, no rocks or roots. There were supposedly "hills," but none of them were more than 4% grade. It's just that they might last for 10 miles at a time. Still, how hard could it be? Aid stations were like clockwork-- 5 to 6 miles apart, and Rob and Will were at every one.

5 miles down, 95 miles to go (Photo by Rob)

I think during the early part of the race, I mostly tried to avoid getting caught up with the 30-milers (it was also a 30, 50, and 100-mile relay event). I ate a watermelon shot-block about every mile, and I walked a little bit every two. I caught up with a 30-mile runner named Katie around mile 10 and stayed with her until we hit her turn around point at Hill City-- mile 15. She was great. She was just like me, and I wished we lived in the same town and could be running friends. We talked about our kids, and what a struggle it could be, but I stopped myself before I mentioned anything about what we'd been through during the past year. I think this had been my downfall at Javelina, when I was in the thick of it and started talking with another runner about how much it was killing me to pull my kid through dyslexia. I didn't go there this time-- I knew from Javelina that a hundred mile trail race is not a good place to fall into a panic attack and be unable to get yourself out.

This is not my new BFF Katie, but from approximately the same place. (Photo by Rob)

When I arrived at Hill City, I was ahead of schedule, behind on nutrition, and it was hot. Rob filled the tube sock of ice for me to put around my neck while I ate some bites of a vegan grilled cheese from my drop bag. I walked out of the aid station, on the only section of pavement the course had, as we took a bit of a jog through town to get back to the Mickelson Trail. I tried to memorize the details of the streets, and I wondered what it would look like when I came back through here in the dark at mile 85.

Pavement in Hill City, USA (Photo by Rob)

The heat was becoming more of a factor, and I finally understood why people had said you needed to be careful of the "hills" in this race. Even a mild grade feels taxing on the legs when it lasts for 10 miles. It is different than running steeper, but shorter hills, where your body gets a clear signal that you need a walk break. My legs were definitely sore, in a way that was somewhat alarming, by mile 25. I was also not handling the shot blocks and homemade grilled cheese so well anymore (that was the entirety of my nutrition plan). Swallowing pills made me gag, so at aid stations I began emptying the contents of an Endurolyte and a ginger capsule into a cup of ginger ale and then swigging down the cocktail. Not bad. The sweetness was unappealing though, and I didn't feel like eating solid food. I drank some lukewarm vegetable broth at mile 25 and this seemed to bring me back to life. Heading out of the aid station with purposeful strides, I thought, this was how I was going to make it. Vegetable broth would see me to the end.
See? This is me, hydrating, at mile 23 (Photo by Rob)

Mile 25, restored by broth (Photo by Rob)

The next 5 miles went by in a flash, which I don't think anyone was expecting. It was all downhill, at a very gentle grade, and I ran sub-10 minute miles the entire way without walk breaks or effort. The aid station at the end of that was the only time Rob and Will missed me during the entire race. I drank some more vegetable broth and got back on the trail.

The next 20 or so miles were roughly uphill, and while I don't remember suffering that much, I did slow considerably. I knew that if I was going to finish in under 24 hours, I'd need to make it to the 50 mile mark by at least 10 hours, to allow myself a good cushion. And by this point, I knew that wasn't going to happen. Eleven hours at the 50-mile turnaround seemed like a safer bet, and finishing the race at all was far more important than finishing it in sub-24.

Mile 43 (Photo by Rob)

There seemed to be a lot of carnage in the final 5-10 miles before the turn around point. I wasn't moving so great myself but was passing people left and right. Uphill, no shade, brutal sun. I took it slow, but by the time I got to the aid station at mile 49-ish, I felt legitimately bad. Rob tried to get me to eat all kinds of food, but I shook my head. I didn't even want broth anymore. I didn't want anything.

Runners were supposed to go out to the 50 mile mark, turn around, and then come back. I thought if I just walked that entire way, until I got back to the aid station again, surely my stomach would get under control. I'd be kissing 24 goodbye, but I'd be saving the race overall.

Walking did not help my stomach, so I ran once I hit the turn around and it was downhill back to the aid station. I couldn't fathom putting anything into my mouth as I got back there, now mile 51 for me. "Do I have time to walk it into the finish from here?" I asked. Rob seemed completely bewildered. By all respects, I appeared to be doing well. I was in the top 25 overall, I was the 3rd woman (of what... a dozen women in the entire race?), and a sub 24-hour finish was still well within my grasp.

I took some (vegan) chocolate chip cookies Rob had brought me from the van and drank a cup of coke. Rob raised his camera to take a picture of me, just as I vomited all over the side of the trail. There was a look of horror on his face that I could tell he was trying to mask with encouragement. I laughed and gave him two thumbs up. Throwing up was exactly what I had needed. I felt better than I had in at least 10 miles. I drank some water and nibbled on one of the cookies as I took off running. This wasn't the beginning of the end, I told myself. My stomach had just needed to be reset, and this had done the trick. Chocolate chip cookies would get me to the end. Everything was going to be fine.

This is not the beginning of the end, it's not. I refuse to let it be. (Photo by Rob)

Most of the first half of the race had been a gradual uphill. Which meant most of the second half was a gradual down. The weird thing is how effortless it felt to be running it. I was suddenly moving at a pretty good clip again, and it felt like nothing at all. This was an asset. Although my legs had hurt early on, they were totally fine now. And my stomach had just gotten reset. Rob had fixed me a baggie of 3 chocolate chip cookies before I left, and I told myself to eat all 3 of them before I got to the next aid station some 5 miles away.

I never ate the cookies.

In fact, I never ate anything else for the rest of the race.

I threw up a couple more times before I got to the next aid station. There would be this brief minute or two after each puke when I felt pretty good. So I'd drink water and whatever I had in my bottles (coke at this point, I think), and then I'd throw that up a couple miles later.

The mile 56 aid station went by, and I ate no more food. I kept thinking that I needed to walk--slowing down was surely the key to calming my stomach. But the gentle downhill grade made running feel easier than walking, and I didn't want to waste anymore time. So I ran.

Just before the mile 62 aid station, it was dark enough that I clicked on my headlamp. Good. Now it was time for some magic. No more sun boiling down on me. Surely now I would be able to eat.

But I couldn't. I pulled into the mile 62 aid station, my stomach a wreck. I'd also been visiting the port-a-potties at every aid station at least since the turn around point, but luckily, I'd never had to use the emergency ziplock baggie of TP in my pack. Even so, I didn't know what was wrong with me. I've puked in just about every ultra I've ever run, but this level of digestive distress was unprecedented even for me. I felt like I was running with the stomach flu.

Now that it was dark out, I was uncomfortably cold. I stripped off my sweaty singlet for a dry t-shirt and tried to come up with something, anything I thought I could eat. No luck. I went to the aid station table and surveyed my options. There was a sign above the table that said "WE HAVE PBR."

"Alright, can you hook me up?" I asked the volunteer.

Everyone cheered as he popped open a beer for me. It was disgusting, but somehow delicious. It was liquid that wasn't salty or sweet, and it had precious calories that might buy me a few miles. I thanked the volunteers and Rob and Will (who was dressed in his Harry Potter costume), and headed out of the aid station.

A mile later, I threw up PBR all over the side of trail.

It was probably around this time that I settled into a groove of run, walk, puke, run, walk, puke, and repeat and until I got to the next aid station. It wasn't that bad really. I began thinking back to when I had hyperemesis, and I had wished there was more than one word to describe "nausea." This wasn't the worst kind of nausea you could have. I'd mostly just feel this low grade queasiness, then puke, and then have a few minutes of relief before it started in again. It wasn't like the all consuming, overwhelming, blinding nausea I had felt during Javelina. This was something I could handle, and that was an asset.

I even started being able to time it so that I would puke shortly before reaching an aid station. This way, my brief window of consumption would occur while there was food available. I still couldn't eat, but by around mile 70, I told Rob, "Chocolate soy milk," and he ran to the van to get it while I went to the bathroom. He filled up my bottle, and I left the aid station thinking, chocolate soy milk will get me to the end. 30 miles to go.

There were glow sticks placed along the trail for about a mile preceding the next aid station, and it was very comforting to see them lighting the way and knowing that I wasn't completely alone in the woods. I think it was about 10:30pm when I got to the mile 75 aid station. Will was awake after a brief nap, and he was wearing his Harry Potter costume. "Follow the glow sticks, mom," he said helpfully, as Rob topped off my bottle with chocolate soy milk. I nodded and continued. It had been 25 miles since I'd eaten anything. I still had 25 miles to go. And for the most part, I was still running. How was this humanly possible? Would I be able to keep doing this until the finish?

The glow sticks dwindled outside of the aid station, but I didn't give in to the odd pang of sadness that brought me. Instead, I thought of Rogue One, when the characters were up against the impossible, and Jyn Erso gave them a pep talk that went something like, "We're going to take this chance, and the next, and we'll keep on taking our chances either until we succeed, or until all our chances are spent." Star Wars wisdom. This is what I would do. Once chance at a time, one step at a time. I had no idea how I was going to finish this, but I would keep on moving until I had no more chances left to spend.



Sleep monsters came out to get me as I forged ahead to mile 80. I listened to music and popped massive amounts of caffeinated Run Gum, but even that wasn't keeping me awake. Whenever I slowed to a walk, the Sleep Monsters whispered to me that I should close my eyes, that I should lie down on the side of the trail. They made my vision blur in front of me. Even bitterly cold and shaking, my breath white puffs of air in front of me, I couldn't stay awake. My legs weren't really sore, but my body was shutting down. I tried to keep running as much as I could, simply because that kept me more alert than walking.

Aside from the nausea and exhaustion, the biggest problem I'd had for most of the race was the constant feeling that I had to pee. At first, it made sense. When I'd stopped eating, I shifted to broth, coke, and ginger ale. More recently to chocolate soy milk. It was a lot of liquid, but I could barely make it 2 miles down the trail without stepping off into the woods to pee. It was growing increasingly uncomfortable at this point because it was so cold. And I had no idea where all that pee was coming from. I'd been vomiting for more than 30 miles, and it had been hours since I'd drank anything more than a few sips at a time. How did I have any liquid left in me? Was my body sucking it out of my muscles and organs? Was I dehydrating from within?

During the stretch from mile 80 to 85, things became truly difficult. My legs were still fine, but running made me so dizzy that I could barely do it. Walking helped anchor my feet to the ground, but it wasn't keeping me warm or awake. I welcomed the lights as I headed into Hill City and made my way to the aid station. Still 15 miles from the finish. It was so close but so far away. For the first time since this had begun, tears welled up in my eyes.

I have no idea how I'm going to do this

As Rob tried to fix a blister that had formed between my first and second toe, another runner and her pacer arrived at the aid station. I left before them, but I could see their headlamps behind me before too long. All I wanted, in the whole world, was to lie down on the side of the trail. There was nothing left in my body to burn, and I was so cold, and so desperately exhausted. Would I freeze to death if I just lay down? I stopped for a second to throw up bile. My stomach was empty because I hadn't even drunk anything in miles, but I still felt like I had to pee. I could not take one more step. I had to lie down, I absolutely had to lie down.

Then Carla and Javier, her pacer, caught up with me. "How are you doing?" Carla asked. I couldn't talk. Tears streamed down my face. She put both of her arms around me in a hug. "Come on," she said. "Walk with us."

And so I walked with them. They were both from Puerto Rico, and this was Carla's first 100 mile race. This was the first time she had ever been in a place so cold that her breath froze each time she exhaled. It felt better to be with Carla and to listen to her talk. I think things might have been easier for me if I'd had a pacer, but I also knew that the only thing that had gotten me this far was having Rob drive the van around to every aid station. When chocolate soymilk was the thing I wanted, he just went to the van fridge and got it for me. When I was too cold to function, he ran to the van and got an extra pair of his own pants for me to wear. Unbeknownst to me, he had also been driving around rural South Dakota looking for an all night grocery store that sold V8, because I had on several occasions asked for this at aid stations (and they didn't have any). Carla told me that I could stay with her after we got to the mile 89.9 aid station and we could keep walking together. But I shook my head. If Rob was there with the van (and I sincerely hoped he was), I was going to get inside, lie down, and go to sleep.

Sure enough, Rob was there. I hugged Carla one more time before she left, and I told Rob that if I was going to finish this race, I would absolutely have to get myself together. I had not been able to eat anything in almost 11 hours. I only had 10 miles left to cover, but my body was at its absolute limit. It was 4:30 in the morning, an hour left until sunrise, 7 hours and 30 minutes left on the clock.

We got in the van and he turned the heat on high. Will was sleeping in the back, and Rob and I both crawled into the bed in the front. My clothes were drenched in sweat, and I was so cold that I shook. I dry heaved twice into a basin, set my alarm for 40 minutes, and fell asleep.

I woke up just after 5 in the morning. I still felt cold and sick. I was desperate to get warm. Rob helped me find some other clothes to put on. I kept saying to him, "How am I going to go another 10 miles with no food?" Maybe it sounded like I was hysterical, but I meant it in a practical sense. Like, what are the procedures I need to undertake in order to accomplish this task? Lying down had not calmed my stomach. I felt even worse than before, with both nausea and hunger rising to excruciating levels. I took a single Ritz cracker out of a package on the counter and put it in my mouth. It might as well have been chalk or cardboard. My mouth wouldn't work to chew, my throat wouldn't work to swallow. I licked the salt off another cracker and took a sip of water. Then I stepped out of the van into a periwinkle world. The last stars faded, and the sun was just beginning to glimmer in the east. 6 and a half hours left on the clock. 10 miles to go. This was going to be hard, but so far from the hardest thing I've ever done that a comparison wouldn't even be possible. Life is hard, running easy.

It never even occurred to me not to get out of the van and do this. (Photo by Rob)

Step by step, each step closer to the finish. I never ran again, but I kept a decent clip, at under 20 minute miles. People occasionally caught up and passed me, giving me an encouraging word as they did. I was beyond speaking, beyond even moving my head. A thumbs up was the best I could manage. At last I reached the final aid station, and there were just 4 miles left. "It's all downhill from here," Rob said. I licked the salt off another Ritz cracker and resolutely shuffled ahead. Taking all my chances, until all my chances were spent.

Two miles from the finish, I started crying. This was the first time I actually considered that there was an end in sight, that I might even pull this off. All I had to do was stay vertical, keep moving. I hoped my legs wouldn't give out on me before the end.

Rob and Will were standing along the trail, just before the turn off to the high school track. "Is it still a half mile to go?" I whispered. "No," Rob replied. "You can see the finish from here." I covered my face and sobbed. Will took my other hand and led me to the track. All I had to do was make my way to the other side of it. Step by step, we did. 26 hours, 52 minutes, and 2 seconds after starting this thing, I finished.
Nothing I did in this race was anywhere near as hard as what he goes through EVERY SINGLE DAY as a dyslexic child in the US Education system.


All my gratitude goes to Rob and Will. I absolutely could not have done this without them being there for me all day, all night, and into the next morning. If they're willing to go through this again, I'm ready to sign up for next year.

Thanks for reading.

Monday, November 28, 2016

Our Nausea

After the disaster that was Javelina, I thought I might have to give up running ultras.  It's been more than 4 years of this-- the nausea, the vomiting. It was no longer how I wanted to spend my life.

"We just need to get your stomach figured out," Rob insisted.

I wasn't as optimistic. All the reasonable, rational, realistic things have not worked. I don't know what else to do.  I wear anti-nausea wrist bands and take ginger pills, I've tried every possible electrolyte drink and tablet, I've tried gels and real food and liquid-only and high-fat. I feel completely out of ideas.

But Rob has approached this stomach-sorting thing as a kind of science. We'll continue to try different things until we find something that works.  We're not yet out of options.

On Sunday, I left to go run 20 some miles at Lory State Park, and Rob said I couldn't just do the same-old-same-old (Nuun and peanut butter pretzels, which hadn't worked for me during Javelina)-- I needed to make this run count by trying something different.  He suggested I give Tailwind another shot, because even though I have thrown it up before, in theory it seems to be the exact thing I need (a liquid source of calories and electrolytes). He said we could try diluting it a lot, so maybe the taste wouldn't bother me (yes, I think even the "unflavored" version tastes disgusting).

I grudgingly agreed.

I felt terrible from the get-go on that run (after many days of not sleeping or eating properly), and Tailwind did not make me feel any better.  It was all I could do to swallow that wretched stuff instead of gag it up or spit it out.  I don't understand why people like Tailwind.  It tastes exactly like the suero a pregnant Chilean girl gave me after I'd been throwing up for 2 weeks with The Vortex in Nicaragua.

I also took Endurolyte tabs during the run. For the past several years, I haven't taken any salt tabs at all, and Rob thought that this might be part of my problem. At Javelina, I took S!Caps, which are super concentrated, and maybe made the electrolyte imbalance worse. Endurolytes seemed like they would be a nice middle ground.

In addition to about 100 calories of Tailwind, I force fed myself ~500 calories of Wild Friends nut butter and peanut butter pretzels as I ran.  This is the most I've ever consumed during a slightly over 4 hour run, but still lower than the 200-250 calorie/hour recommendation that many ultra runners ascribe to. I've long since maintained that I can get by on 100 calories per hour (or less even). Rob doesn't believe this is true.

My legs held up fine during the run, but my stomach felt awful and my mind followed in a downward spiral. I swear that the Tailwind and Endurolytes induced nausea, because I wouldn't normally have been sick during a 20 mile run in cold weather.

I took a ginger pill after I got home just to survive, but the nausea returned later in the evening when Rob got the great idea to watch the "new" Jason Bourne movie that neither of us had seen yet. By just a couple of minutes into the movie, I was reaching for an emesis basin and wanting to gauge my eyes out I was so nauseous. It was like the time, more than 15 years ago, when my friend Jarrod had to carry me out of the theater during the Blair Witch Project because the shaky camera made me so sick.

I laid face-down on the couch and covered my head with a pillow, and Rob described the movie to me. "Now Jason Bourne has jumped into a car and is driving away," he said.

"What kind of a car, like a sedan?" I asked.

"Yes, a sedan. The bad guy has stolen a swat car and is chasing him."

"You mean the guy who was trying to kill him earlier?"

"Yes, that guy," Rob said.  "Now Jason has jumped the median and is driving the wrong way on a very busy street. The bad guy just plowed into 20 parked cars."

I felt like I was dying of nausea, but I laughed. This might be the only way I can watch movies, especially ones that involve a lot of shaky camera action. Movies make me sick all the time. From now on, I will just close my eyes and have Rob narrate.


via GIPHY

When the movie ended and I managed to drag myself up to bed, I was still musing about this nausea. Rob asked me if the way I felt when watching the Jason Bourne movie was the same way I felt when I get car sick. I said yes.  He asked if it was the same way I felt when I get sick while running a race.  I said yes, now suddenly connecting the dots in my head.

All of a sudden I realized-- what if it wasn't about getting behind on eating and drinking during a race and then messing up my electrolyte balance or running out of fuel? I had always assumed that I slacked off on nutrition and hydration first, and the nausea followed after.  But what if the nausea was what started it all off? What if I get motion sick just from running, and then my queasy stomach won't let me eat or drink anymore?

It started to make a whole lot of sense. I've suffered from severe motion sickness my entire life-- in boats, planes, trains, buses, and cars, even while riding a bike. It seems reasonable that whatever causes my motion sickness would be in play while I'm running as well-- especially on trails where I'm constantly watching the terrain undulate and the rocks and roots rise and fall beneath my eyes.  It makes sense that I felt even worse after dark at Javelina.  The heat was less of a factor, but the bobbing headlamp against the darkness of night kept me throwing up. Maybe it even makes sense that in almost every ultra I've ever done, the nausea hits me around the same time-- 7 to 8 hours into the race, or somewhere between mile 35 to 38.  Maybe my inner ear has the power to fight off the sensory onslaught of jagged terrain for that many hours, and then it just snaps.  At least, that is how it seemed to happen at Javelina. Everything was fine until all of a sudden *bam* the nausea slammed me without any warning, even though I thought I had been doing a relatively good job of eating and drinking. It was after the nausea hit me that I shut down on my nutrition and hydration.

So there it is, I think I've figured it out.  It's not about calories or electrolytes. It's just my motion sickness, for which there is no cure.

I'm trying not to feel abysmal about this, but I kind of do.

Rob asked if it would be possible to take motion sickness medication during ultras, like Dramamine, but this would not be a solution. To say that Dramamine makes me "drowsy" is a vast understatement. It makes me catatonic for days on end if I merely lick a tablet.  All of the various motion sickness products have the same side effect.  They do make a "non-drowsy" version of Dramamine, but it is just a ginger pill (less concentrated than the ginger pills I already take) with a gelatin coating. That wouldn't be an improvement, even if I was willing to consume gelatin (I'm not). I did think that my vegan ginger pills offered me some relief during Javelina, it was just that I stopped being able to take them because the capsule is so big and I would gag on it when I tried to swallow.  I've looked around to see if I can find any ginger supplement that concentrated (I'm talking 1,000mg of ginger here) in an easier to swallow version. I haven't been successful yet.  But what I did try today was actually opening up a capsule and dumping the powdered ginger into a glass of water. It didn't taste completely terrible. Granted, I wasn't currently nauseous, but I had no problem drinking it like that. The thing I am actively clinging to at the moment is that maybe I could empty a ginger capsule into my water bottle during an ultra, and possibly survive to the end without nausea. Or maybe there is something else out there for motion sickness that doesn't cause drowsiness, dizziness, blurred vision, etc, as a side effect. I guess I'll keep looking, or else, limit myself to races I can finish in 8 hours if I want to do it without getting sick.


via GIPHY

Thanks for reading.

Friday, November 4, 2016

Part 2: How I got off the boat at Javelina 100

Continued from Part 1: Selling my soul to get to Javelina.

I didn't come to Javelina 100 from a place of great strength. There were the preceding months of injury, and then, the wearing down of my soul as I fought to make this world (or at least the education system) a habitable place for my differently-abled child.

Of course, we all reach the start line having overcome obstacles. I don't think that mine were any more insurmountable than those that others faced. But I knew going into this that I had not handled it well. I was angry. I felt like I needed to own that emotion, that maybe it was a stage I needed to go through.  I hoped that my anger would be an asset in this race, that I could use it as a powerful fuel, and that I could just keep holding on to that razor thin edge instead of snapping and losing it entirely.

My knee hurt as we pulled into Phoenix, and my ankle hurt too.  But we found Christina in the parking lot of packet pick up, and at that moment, I knew everything would be okay, no matter what the outcome. She was the reason I was here, she was why I had gotten this far.

Thank you, Christina and Angela.

After a sleepless night, I was lucky to find Christina again at the start line in the dark of the pre-dawn morning, with about 600 of our closest friends.

Angela, you are with us too.

Christina, I meant to tell you something before the race and completely forgot: "This is your day."
I didn't even know when the race started.  I just noticed that all of a sudden Christina and I were moving and there was already at least a minute on the clock by the time we got there. I started my watch and ran about 10 steps.  Then we came to a complete stop. There were a lot of people ahead of us.


That moment at the start line when anything is possible.

The race started on a narrow trail, and because it was so crowded, the going was slow. The first mile took me over 18 minutes, which was about the same time when it got light enough to turn off my headlamp.


Christina and I stayed together in the congestion for a couple of miles. Then a woman passed me, flitting effortlessly up the trail. I decided I'd had enough of walking in the conga line. I went with her.

As I talked with my new friend, I relaxed a little. One thing I noticed (but cannot explain) was that all of a sudden, my knee didn't hurt anymore.  This was an asset.  I also noticed that once we got to the "technical" section, I actually didn't think it was so bad. Maybe living in the Rocky Mountains had done me some good after all. Asset.

But what I did notice was that my ankles hurt, both of them. The one that had been injured and the "good" one as well. I didn't know what to make of this, especially so early in the race.  I would have to find a way to make it manageable.

Around 10 miles in, we reached the halfway point of the loop and the aid station at Jackass Junction.  It was so crowded. I lost a lot of time standing in actual lines just to get a turn to refill my water, use the porta potty, find my drop bag, and get ice for the tube sock I was wearing around my neck as a cooling device. I took a salt pill and hoped the runners would start to spread out soon.

It was mostly downhill back to headquarters, and before I knew it, I had completed the first loop.

Drop bags at headquarters. 

Headquarters was crowded as well, but there was more space than at Jackass, plus I had Rob to help me navigate and get my things for me. He filled my pack and tube sock with ice, while I fumbled around my drop bag for ibuprofen. The pain in my left ankle was getting bad. I mean, it wasn't as bad as when the injury had first occurred a couple of weeks ago-- that had felt like an alien was trapped in my lower leg and trying to burn its way out with a red hot poker.  This wasn't to that point yet.  I stretched and rotated the ankle as I downed an ibuprofen.  I took another salt pill. I noticed again how terrifyingly hot it was becoming, so I took a ginger pill for good measure-- anything to keep the nausea at bay.  I guzzled 2 dixie cups of ginger ale, then loaded up on Fritos, salted potatoes, and more peanut butter pretzels.  It was time to go out for Loop 2.


I didn't invent the tube sock of ice around the neck, but I sure appreciate whoever suggested it. That was brilliant.  Also, apparently, I brushed shoulders with Rob Krar as I was exiting headquarters, but I didn't even know it. He wasn't running, he was there as either spectator or crew.

I noticed that on Loop 2, everyone was walking. It was hot, yes, probably nearing 100 degrees, and we were only about a quarter of the way into a hundred mile race, and we were going uphill.  But walking, really? Was it necessary? As the ibuprofen kicked in, I felt great. The salt and ginger were keeping my stomach at bay.  The caffeinated Nuun had given me wings.  I didn't want to walk.  That would make it take longer between aid stations, and refills of ice and ginger ale. It seemed better to just keep going.

I tried to do the best I could on hydration and nutrition.  The tube sock of ice was a life saver for keeping me cool, until two of the aid stations (each of them about 6-6.7 miles apart) were both out of ice. I felt bad for the volunteers, who looked at us apologetically, but seriously, I don't know how they managed to have any ice on this course throughout the day. It was so hot. We'd been lucky to have ice at all.  

I didn't notice that the heat was getting to me until I gagged on salt pill at Jackass around mile 32. I tried three times to get one down and never could. I eventually gave up and just kept moving.

By mile 37, I was nauseous.  The most important thing, I thought, was to get it under control and not panic.  But this was hard to do because my ankle hurt so bad. Negativity spiraled me downward.  I told myself to just hang on 5 more miles. Rob would be there at headquarters, and he would take care of me, and everything would be okay.

At headquarters, I gagged on two more salt pills. "Just put some water in your mouth and do this as fast as possible," Rob said. I managed it on my third try, but it felt like death and I started to cry.  I needed to eat but I couldn't eat. The best I could do was ginger ale.  I had covered just over 40 miles. How on earth was I going to go another 60?

Rob handed me my recharged headlamp, and I put it in my pack. The sun would set in 2, maybe 3 hours.  Then it would be cool, and the nausea would go away, and I would be able to make up for these lost calories.  All I had to do was finish Loop 3, and then Rob could pace me the last 40 miles.

I got some vegetable broth at the first aid station out. I knew it didn't have much in the way of calories, but at least I could keep it in, and maybe it would restore my electolytes enough so that I could eventually eat and drink again.

I ran with Carrie for a while, and Zach G. I felt better talking to them. I still hadn't eaten, but happy tears formed in the corners of my eyes. I had ridden the wave. I was going to make it.

I saw Christina and stopped to hug her. I was so proud of us for doing this, I was so happy.  Zach Bitter flew past us at that moment, on his way to winning the race and setting a new course record. He had smiled and told me "good job" each time he'd met me on the loops. He'd done that for every single participant out there, still managing to run around an 8 minute pace for a hundred miles.

Shortly after mile 50, it was dark enough that I turned on my headlamp. This is what I had been waiting for all day. It would be cool again, and I would be able to eat.

I walked into Jackass Junction, around mile 52, in the dark.  It was the "party" aid station. Volunteers wore costumes, there was music and lights.  A volunteer asked me what I wanted, and all of sudden, without warning, I burst into tears.  I can't eat, I told him. I haven't been able to eat since sometime before mile 37.  Liquid. Liquid calories, not sweet.

They handed me broth.  I sobbed and sobbed. A lady led me to a white tent, where I sat down on a chair and continued to sob.  Then I started to shake. The lady brought me some oranges and told me that had helped other people who had been nauseous and sitting in that chair.  I tried the oranges but they tasted so bitter to my nauseated tongue.  I stood up, I wobbled.  The lady told me she didn't mean to sound nagging, but she didn't think I should go back out on the trail.  I said I was fine, but I was sobbing. She got me a baggie for the oranges, and I left, clutching them and the dixie cup of broth.  I couldn't stop crying, but I headed back out onto the trail.

At mile 55, I puked for the first time.  It was dark, and I apologized to the people around me because even at this stage in the race, the trail was still crowded.  The nausea lifted for a few moments, and I knew I would have a little window of time to get some calories and electrolytes in me, hopefully turn this around. But what? Nothing I had with me sounded appealing.  I did the best I could.  A mile or two later, I puked again.

Eventually, I came to Coyote, the last aid station before headquarters.  I was sobbing again. I asked them, was there anything they could give me that would take away this nausea. I was losing my mind.  It had been more than 20 miles of this.  I had been subsisting on sips of broth and water that whole time.  I had 40 miles left to go.  I couldn't stop crying.  One of the volunteers asked if I wanted her to walk with me back to headquarters, some 3 or 4 miles away.  I shook my head. I said I could make it and went on.

People cheered for me as I came in, and I wanted to scream at them to shut up. I was dying, I didn't want to be cheered. Rob found me and got me a chair by my drop bag.  I sobbed and sobbed and sobbed.

"I don't want to have to quit," I told him.

Rob had on his headlamp to pace me, and we left from the aid station as I tried to take a couple of sips of ginger ale. I didn't know why we were doing this. There was no way I could make it to the end. I was angry that people kept telling me I had so much time left on the clock. 14 more hours to go 40 miles, they said.  It didn't matter. I couldn't see straight. I was so nauseated I thought I would die.

I don't know how long it took for us to get back up to the aid station at mile 66, but I knew that was the end for me. I didn't know how I would drop from there. I was terrified that I would end up just having to walk back to headquarters the way we'd come. 

I couldn't tell what Rob was thinking. Was he mad at me, was he annoyed? Did he think I was being a wimp and just needed to get my shit together? Was he disappointed that he had sacrificed so much for me to do this, and now I had completely fallen apart?  He kept telling me that I had plenty of time left. He had me lay down on a cot, and I think he thought I just needed to rest a while so I could feel better.  But I was way far past the gone. Lying there, not eating or drinking, wasn't going to bring me back.  I couldn't even walk another step.  My mind had snapped, and I knew I'd fallen off of that razor thin edge I'd been clinging to when I started this race.  All I wanted, in the whole world, was to get rid of this nausea.

I'm not sure how long we were at that aid station--an hour, maybe two? I started to get cold and shake again. One of the volunteers told me he felt so bad to see me suffering like this that he would just take me back to headquarters himself. I nodded and kept telling him I was so, so sorry. He got his truck and I climbed in. Another volunteer asked for my bib number, and I said "432." She radioed my number back to headquarters, and I guess that's how you drop a race.


I had plenty of time to think, as I talked to Christina the next morning, and then during the long drive home. I was messed up, for sure, but I have been messed up much worse in other ultras and still managed to finish. Maybe it was because I still had so much distance left to cover when the nausea hit.  If you get messed up at mile 37 of a 50 miler, you can gut it out to the end. Maybe you can't if the distance is 100 miles. At least, I couldn't.

When all was done, I'd gone about 8 hours on only a few dozen calories.  My body was shutting down.  If somehow, I'd managed get some fuel in me, I think I would have recovered instantly.  I just couldn't do it-- my mind was gone, my gut was gone, and I couldn't come up with the strength to power through any more.

If you've known me for longer than 5 minutes, chances are you've heard me talk about how I had Hyperemesis Gravidarum while I was pregnant with Will. This is not morning sickness.  This is puke until you almost die sickness.  I lost at least 10% of my body weight and couldn't work I was so sick. Once I realized that it wasn't going away the whole time I was pregnant, I didn't know how I was going to live through it.  I didn't know how I'd survive one more minute of it, much less 9 whole months. At 12 weeks, I was prescribed anti-emetic pills to stop the vomiting, which mostly worked, but they didn't do anything for the nausea.  It was terrifying.  I thought I would lose my mind, and there was no way out.  Not one for minute did that nausea ever leave me. 

It felt like all those times, when I lived on Ometepe Island and got seasick on the boat back to the mainland. I would white knuckle it through those boat rides, clutching the railing until my skin was thin and pale, and I would vomit into a trash can as Lake Nicaragua swirled violently around me.  I would hold on, just hold on, for an hour and a half, or maybe two, until the boat ride was over.

Hyperemesis was that same feeling, except the boat ride was much longer, and no matter how much I wanted off that boat, I was trapped.  There was nothing anybody could do.  

I thought of all this, as we drove home through Utah.



I thought, maybe I've never really gotten over that. Maybe I never will.  I don't know. During hyperemesis, I had no choice, I had no options. But during Javelina, I did.  I could take something I had worked so hard to get to, made so many sacrifices for, and I could throw it all away.  But in doing so, I could get off the boat.  And maybe that's what I needed to do.

Thanks for reading.

Wednesday, August 17, 2016

Howl 2016: You might love the ultra, but the ultra doesn’t love you back

I had a lot riding on Howl At The Moon this year. It would be my fourth time running the race, and quite honestly, I was already thinking it might be the last.  It keeps getting harder and harder to get into Howl. You have to be sitting at your computer the instant registration goes live (usually sometime around Earth Day) and then click like mad to get the page to load and enter your information before all 300 slots are gone within a matter of minutes. 

I managed to do this for both Rob and me this year, I’m not sure that I’ll be so lucky in the future.  All I knew was that if I wanted to go back “home” to sea level and run a race on my kind of terrain (non-technical loop course) while Will was being cared for by his grandparents (the race takes place in Rob’s hometown), this was my chance.

Howl is an 8-hour timed ultra, meaning you run the same 3.29 mile loop (of mainly grass, dirt, and gravel) as many times as you can within 8 hours.  Or rather, within 7 and a half hours.  When there is a half an hour left on the clock, you are diverted to the ½ mile out and backs for the remainder of the race.  When the 8 hours are up, the person with the most mileage wins.  This person is never me.  But.  I have done progressively better each time I’ve participated in Howl . Last year my super secret goal was to complete 14 loops (46.06 miles), but I’d fallen short of that and ended up with 13 loops plus 4 out and backs—44.77 miles.

This year, this year, I was determined.  This was going to be my year. This was the year I would run 14 loops.

The mere thought of that was terrifying.  I knew what it had taken out of me to run 13 loops the previous years, and 14 was so at the absolute edge of my capability. Nothing could go wrong if I was going to make that happen. Nothing.  All I could think about was this Jenn Shelton quote from the documentary Outside Voices, when she’s talking about ultras (maybe it is 100 milers specifically), and she says something like, “You have to care about it more than anything in the world, but you also have to not give a shit.”

This is so true.  There are a million, billion things that could go wrong while you’re running an ultra.  Some of them you can control, some of them you cannot.  You absolutely have to be able to let it go, cut it off, jump ship, if the situation changes and what was once marginally possible becomes truly and legitimately impossible.  Otherwise, the ultra will destroy you.

This ultra really did seem like it was planning on destroying me when all week the weather forecast was calling for severe thunderstorms and heavy rain on race day.  I knew I had to mentally prepare myself to let go of 14 loops if the conditions were bad, and I had to be okay with that.  But when I woke up on race morning, the forecast had changed to: “light scattered rain.”  I stood there at the start line, trying to summon the wherewithal to switch my brain back to “GAME ON” mode.

You'll have to wait for Rob to write a blog post about his race, or maybe do a podcast about it.  This was going to be his year, too.

Pre-race. Photo by Rob.

During the first couple of loops, I relaxed at the way the terrain felt smooth and effortless under my feet.  My legs decided for me—I was going for 14 loops today.  I started ticking off the miles at around 9:45 pace, and although this was a bit faster than I needed to be going, I told myself this was wise and calculated rather than stupid.  The current situation was that the weather was cloudy and cool. These were the best conditions I could hope for all day.  Within a few hours, the heat and humidity would be suffocating, and I had no idea just how “light and scattered” this rain would be, and whether or not it would turn the trail into mud soup.  It was now or never.  If I wanted even a slim chance of 14 loops, I needed to give it to glory from my very first step.

The only problem I had during the early miles was when my scorer did not to mark me down for Loop 3, and I briefly panicked that I had just run 3.29 miles that wouldn’t count towards my total.  Howl is still old school—it is not chip timed. They have volunteers who are assigned to a certain number of runners.  These scorers put an X by their runners’ names every time one of them comes through.  When I started out on Loop 3, the volunteer sitting next to my scorer nodded and pointed to me (I thought) and said, “He’s got you, you’re good to go,” as my scorer was marking an X on the page (I assumed, next to my name).  I said “Thanks” and carried on, but when I got back, I found that my scorer had not seen me and had not marked me down as starting out Loop 3. 

The one rule of Howl is “Never argue with your scorer.”  Without arguing, I showed my scorer my GPS, and tried not to black out from sheer panic.  Luckily, he saw the mileage shown on my GPS and assumed he must have made a mistake.  (This is actually not the first time I’ve had a scorer make a mistake at Howl).  Everything was fine after that, but I made for damn sure that I shouted, waved, and heard him say my name and loop number every time I passed through.

The loops kept going by so quickly.  It was like I was eating them up.  It felt like nothing at all.  I was staying on top of hydration and nutrition with Trail Butter and Nuun from my drop bag, and then I would grab boiled, salted potatoes and water at the halfway point aid station.  By 3 or 4 hours into the race, the clouds had lifted and the sun was sweltering. I dealt with the heat by refusing to acknowledge it.  I had a system.  I would hand off my empty water bottle to a volunteer at hilltop aid station, and while he filled it, I would eat as much watermelon as I could.  As soon as he handed my bottle back, I would take off running again, now less than a mile to the start/finish area, where I would stuff my hat and sports bra with ice from the cooler we had brought.

I still felt reasonably good so long as I ignored the heat and the way I was disgusting and soaking wet from so much sweat.  It was not raining.  Rain would have been nice.  By around 20 miles, I grabbed my phone and Flip Belt so I could listen to music.  I had to do whatever was necessary to get this done.  I listened to Lady Gaga Poker Face and ran an 8:47 mile.  Good, that would help counter the occasional 11 minute miles I was putting in while walking the hill and stopping at the watermelon aid station.  I could do this.

But I could no longer ignore the deafening pain in my quads.  Dammit.  Were these muscle cramps?  I’ve never suffered from muscle cramping in the heat like some runners do.  I often have quad pain during long races, but never anything quite like this.  I refused to let go of 14 loops.  I took an ibuprofen back at our tent and loaded up on more caffeine. I was going to get this done.

The miles kept flying by.  I finished a marathon and then a 50K.  There was still enough time on the clock.  Things were going well.  I was practically the only person still running, rather than walking, on the course. But by mile 35, I wondered if maybe things were not going so well.  I decided to ignore this and keep moving forward.

Then at mile 37, the wheels dramatically and suddenly fell off.  One minute I was running, tired but resolute, and the next minute, I was at a complete stop on the trail, sobbing out loud.  Nausea clogged my ears and throat.  All the heat I’d been refusing to acknowledge for the entire day suddenly hit me, tenfold.

Eventually, I put one foot in front of the other.  I sobbed through a 15 minute mile.  Just like that, any chance of 14 loops was now gone.  I thought, you might love the ultra, but the ultra does not love you back.

When I made it to the halfway aid station, there were cups of what looked like fruit smoothies sitting on the table.  I asked the volunteers what these were and they told me strawberry margaritas. I took one and drank it.  It was cold. I moved a tiny bit faster for the next mile.  I made it into the start/finish area after Loop 12 with an hour and 10 minutes still left on the clock.  I kept going.  Slow this time.  I would finish Loop 13, but nothing more.  It would be the first Howl where I did worse than the year before.  I couldn’t think about that, not because I was being stoic, but because I simply couldn’t think.  I just kept moving.  Walking felt as awful as running, so I ran.  I made it to the halfway aid station and had coke and water. By the time I turned onto the trail that led back to the start finish area, I was moving at a pretty good pace again. 

I didn’t stop at our tent but headed straight to the out and back area.  There was still around 25 minutes on the clock.  If I ran 2 more miles, I would tie my distance from last year, and that would at least be something. 

The out and backs are my most dreaded part of Howl.  The terrain is super rutted and it’s crowded with people and everybody is completely shot by that point. I’m always worried I’ll get trampled.  But this year, I was the one doing the trampling.  I didn’t notice any ruts or roots.  I flew, dropping to sub 10 minute pace for the first time in 7 miles. There was pain and exhaustion and nausea, but I was stronger than it.  I was pure grit and guts.  I felt nothing.  I just ran.  I knew could have taken my time, but I didn’t want to.  I wanted to finish this running.

And so I did.  With 7 minutes left on the clock, I hit 44.77 miles and called it a day. 

My hands were turning inside out and all I could see in front of my face was wavy lines.  Everything that I had been holding back or pushing aside for the last 8 hours came crashing down on me.  My mother in law was standing there and asked if I wanted to go back to the tent.  Yes, yes I did.  We made it there and I face-planted in the grass and closed my eyes so that I could forget for a minute about not being able to see right and try to stave off the post-race nausea.

This coconut water will replenish those electrolytes and keep me from throwing up! (It didn't).

Our friend Eric came to the van to talk as the awards ceremony was winding down.  I was lying on the bed clutching a bowl I thought I might puke into, and I told him I didn’t know if it was worth it.  What was the point?  Rob and I, we’ve structured our entire lives around running ultras. We moved to Colorado, we bought this van.  I gave up or didn’t even try to hold together a real career.  Running comes first, in all things.  And for what? Would it mean something if I was good at it? Would it all be worth it if I were out there winning these races instead of falling apart and finishing last or in the middle of the pack?  Shouldn’t I find a new hobby or something?  This was insane.  Ultra life chews you up, ultra life spits you out.  You might love the ultra, but the ultra doesn’t love you back.

I threw up twice and will eventually lose one blackened toenail.  I still don’t know if it was worth it.  I’m not upset with myself for falling short of 14 loops.  I’m more amazed that I held it together as well as I did, that I managed to ride the fucking wave and come back to life after a massive bonk during loop 12.  I have no idea how I am going to do Javelia Jundred in 2 months.  And I don’t know whether I’ll be sitting at my computer one morning next April, waiting for Howl At The Moon registration to go live, so I can try one more year to make it 14 loops.

Thanks for reading.


Howl At The Moon, I'm not sure I have anything left to give or take.