Wednesday, July 28, 2010

Pre-Vineman Aquabike

A lot has been going on with my work that has increased my level of stress and probably impacted my training.  I was starting to feel "burned out" by training.  Instead of a joy and stress reliever, the 2 a day workouts were becoming an unpleasant chore.  I discussed this with Coach Paul and he told me that I've been going full bore with training and my "additional" activities that my body was feeling worn down.  He told me that I still have time to get my body back in tune before Ironman Louisville.  

It started with getting back from Vegas and dealing with one urgent situation after another at the hospital.  I can deal with medical emergencies, but dealing with administrative and personnel issues can be even more stressful because the situation drags on for weeks.  On top of this, training has now ramped up to 2 a days on weekdays and weekend rides + runs lasting 5, 6, up to 8 hours! Then throw in my Alcatraz Challenge Part 2... and no wonder I'm beat.

  I signed up for the Aquathon which consisted of swimming from Alcatraz to Chrissy Field and then running over and back from the Golden Gate Bridge.  My last Alcatraz swim went so well that I got cocky.  I did not prepare well and I paid the price.  20 min into the swim and I was tired and my HR was way too high.  The water was very choppy and with the fog and my leaky goggles, I could not sight my landmarks.  This increased my anxiety which increased my HR and breathing, and I was finished.  I got pulled into a boat and for the next 30 min we picked up other swimmers who were struggling or were getting pulled off course by the strong current.  The good news to this was that they took us to a point about half mile from shore and allowed those who wanted to finish the swim to do so.  I knew I had to jump back in the water to regain my lost confidence.  So I finished the swim and then ran the 7.5 miles across the GG bridge.  From the bridge the distance between Alcatraz and Chrissy Field seemed immense! 
 
For the next week I felt crappy about my swimming and psychologically I had a real negative attitude.  But after taking a couple days off last week, I feel renewed and my workouts have gone well this week.  I got a massage on Monday after Saturday"s 100 mile ride and Sunday's 16 mile run.  Today I swam 2.5 miles in the pool.  

I now feel confident again heading into Vineman Aquabike.  I will swim 2.4 miles and ride 112 miles this coming Saturday.  I leave for the Bay Area tomorrow.  Stay tuned for my race report next week.

Wednesday, July 7, 2010

1 year after ACL Reconstruction: Ironman Training Continues

One year ago, I underwent the surgeon's knife and had a graft taken from my hamstrings to recreate a new ACL for the one I tore on the ski slopes of Calgary, Alberta.  I have come a long way since that day a year ago.  I have kept this blog as a reminder of what I went through, and some of the feelings I had as I went through the pre-op, post-op, and rehab phases.  Looking back at the recovery / rehab from the ACL reconstruction, I don't wish this injury on anyone.  Yet I know that every year, many people do tear their ACLs and then undergo reconstruction.  In fact, two of my coworkers have undergone ACL reconstruction this past year.  I hope that my experience will provide some inspiration for those who just had or will have this surgery.  There is light at the end of the tunnel, but the tunnel is long and torturous, filled with many obstacles.

I had a 1 year post-op checkup with my surgeon a few weeks ago and I was told that my ACL was solid and completely stable.  My surgeon said that I was the most motivated ACL patient he has ever had.  I pushed myself to regain the level of fitness I had before the surgery.  Soon after I got off the crutches, I got on the stationary bike, elliptical, and the pool.  By 3.5 months post-op, I walked-jogged the Nike SF marathon.  A month later I jogged the RnR San Antonio marathon.  The following month I ran the RnR Las Vegas Half marathon.  This was followed a month later with my 1st Ultra 50-K in Arizona.  In March, I completed the Desert International distance Triathlon and set a PR ( much faster swim, slower run from the year before).  I followed that up with Wildflower Long Course Tri, Palos Verdes Marathon, Alcatraz challenge swim, and Laguna Hills Half Marathon in May.  In June, my marathon relay team consisting of 4 old "farts" from work finished 3rd in the Men's Division at the RnR San Diego Marathon!

All of this occurred while I was training for Ironman Louisville with Team in Training's Ironteam L.A.  In a sense, raising funds for the Leukemia and Lymphoma Society and training with the Ironteam gave me the motivation to push on ahead when the going got tough.  When you think of those fighting for their lives against Cancer, recovering from ACL surgery seems like no big deal in comparison.  I have a teammate Gordie who is a Cancer survivor and despite the many obstacles in his path, he pushes on ahead and is there with us every week going through the same tough workouts.  He even sends weekly emails with an inspirational message to the Ironteam.  That's the kind of dedication that inspires me.

This past weekend we rode 85 miles, starting from Camarillo, down PCH to Mulholland and Encinal Canyon back to PCH and then up for a second loop of Mulholland / Encinal Canyon before finally heading back to Camarillo.  Lots of climbing, but I love hills.  I finished in about 5.5 hrs.  I finished off the ride with a 5 mile run.  I felt great and I know I'm ready for the Vineman Aquabike event.  I got another long run in on Sunday in PV before heading out to Vegas for some Rest n Relaxation.  By Relaxation, I'm talking about getting up every morning before 6am and getting in a 6 mile run in 80 degree heat ( by noon its over 100 degrees !!!)  The run is followed by swimming laps for an hour in the resort pool before the pool gets too crowded.
Other than losing several Benjamins to the Blackjack tables, it was a great mini-vacation.

Tuesday, June 29, 2010

Vineman Training Weekend

A Hot Weekend in Sonoma Wine Country.  Great training weekend for Vineman.  The drive was a "Bear"; 10+ hours due to  Friday afternoon traffic in LA.  Arkady and I got in after midnight.  It's always nice to return to my old "neck of the woods".  I spent 2 months living in Santa Rosa during my family practice rotation in med school.  Even then I enjoyed going on bike rides after finishing up in the clinic.  Well on Saturday I got to ride for 112 miles ( 2 loops of the actual Full Vineman course.) The course was beautiful.  We must have passed over a hundred different vineyards.  Watching the people going in for their wine-tastings at these wineries, while I was baking in the hot sun was real tough.  I told myself I'll return another day for a more leisurely wine country experience.

I finished the ride in about 6.5 hrs.  Not bad.  This was my longest ride to date.  I even had to deal with a water bottle falling off, and my chain fell off 3 times during the first loop.  Amazing but it didn't fall during the second loop.  Perhaps I anticipated my gear shifts better.  (I better drop by the bike shop and get a full tune-up.)  Afterwards we had a nice dinner at one of the rental homes.  Then it was off to bed for the Sunday swim and run.

Sunday was a much hotter day than Saturday.  Temperatures approached 90 degrees.  We started with a nice swim in the Russian River.  Then I ran 1 loop of the actual Vineman Course.  ( 3 loops on Full Vineman )  I thought Arkady and I would return to LA immediately after the run so I stopped after 1 loop.  But I probably could have and should have run a 2nd loop.  It turns out that as an Ironteam, we waited until the last runner came in after their 2 loops on the course.  So I waited for 2.5 hours!  But it was fun.  I had a coke, some recovery stuff, and even a couple ice cold beers!  Yummy.  After everyone returned from the run, it was off to lunch.  I was starving and had a real craving for MEAT!  So I ordered the "I Love Animals Burger."  I finished the whole plate!!! See photos below.

Friday, June 18, 2010

Xterra Marin Headlands 21K

Another Wow Weekend.  This time I was up in SF for my "little" sister's wedding.  The wedding was really nice and I'm happy for Sis.  But this Blog is about ACL Reconstruction to Ironman, so on to the Xtreme.

I got an email and found out about the Xterra Trail Run series.  There is a SoCal version and a NorCal version.  I saw that the Marin Headlands 21K was scheduled for the same day as my sister's wedding.  Since I had to miss our Ironteam Orange County to San Diego Ride, I figure I needed to do my own Xtreme Workout.  I got my sister's approval to run this half marathon.  I don't think either of us realized how Xtreme this Trail Run is.  I figure a nice little run, enjoy the beautiful scenery, get back to SF for a nice shower and brunch, and then prep for the wedding.  Well this is what happened...


I got up by 5am and headed out of the hotel by 6am... The temp 75 degrees in SF!  I was warm in my bike jersey top and shorts.  A beautiful morning for strolling or lounging around in a coffeeshop.  I drove over the Golden Gate and got lost because I missed the turnoff.  Eventually I stopped at a coffee shop in Sausalito and got my coffee and directions to the Marin Headlands.  I got to the park by 7am and after registering waited for the 8am start. 

Very warm and comfortable as I sat in my car with the doors open...
Race starts and its uphill and more uphill...  The first 2 to 3 miles is basically uphill.  I tried to run, but there were some stairs where it was difficult to pass anyone.  So I took my time.  Many sections of the trail were rocky and unstable.  OK when going uphill, but we had to run back down this path on the return section.  More on this later... 


It was getting really warm now, perhaps 80 degrees and it's not even 9am.  What saved me was a nice cool breeze.  We had to carry our own water since the aid stations were at mile 5 and mile 10.5
There was a nice downhill stretch around mile 3 to 5, and I ran a 7 min-mile downhill.  I didn't even think about my reconstructed ACL.  Everything felt really stable.  Props to my excellent Ortho surgeon.  After downing some Gatorade and refilling my bottle it was more uphill climbing.  By this time I could only walk the uphill sections and then jog-run the downhills.  Some of the uphill inclines were so steep, up to 17 degrees. See chart above.  Many parts of the trail were single track and winding along the cliff edge.  Yes Pacific Ocean below!  Watch out.  Other parts of the trail were completely overgrown with vegetation / prickly weeds!!!  My exposed skin was getting scratched.  Fortunately I wear knee high compression socks, and I also had a brace on my R knee, so only my L knee was getting scratched.  Well by mile 8 to 9, I was almost out of water, and after mile 9 I had to gut it out until the next water station at mile 10.  This section also corresponded with the steepest climb of the entire run.  Painful...  Miserable...I couldn't believe I paid money for this abuse.  But the beautiful scenery of the Pacific and San Francisco skyline with the Golden Gate Bridge made all of it worthwhile.  Plus suffering makes the end result more satisfying.

I finally made it to the water station and drank about 2 cups of Gatorade, dumped a couple cups of water over my head and refilled my water bottle.  By this time I was a little confused and not thinking as clearly, perhaps from dehydration or hyponatremia.   I continued on the main trail as I left the water station...I didn't realize that I was suppose to turn right at the water station and go between some bushes along a single track trail.  It took me about half a mile before I concluded that I must be on the wrong trail and I had to backtrack to the water station.  So a net 1 mile detour added to the 13.1 mile run.  Great.  I took this as another challenge that I had to overcome and didn't let it bother me too much.
 
Next was another tough climb and then finally the downhill run.  As I mentioned before this part of the trail was the same section that we initially climbed at the beginning of the run.  Rocky, slippery, and steep.  It was a tough balancing act: controlled fast running without falling.  Not easy.  My ASICS trail shoes came through and I survived.  It was a great sense of accomplishment and relief when I finally crossed the finishline in 3 hours.  This was by far the toughest half marathon I've ever run.  I can't wait to do it again!!!

Monday, June 7, 2010

11 months Post ACL Reconstruction: Alcatraz and Beyond

Knee is doing great.  I don't worry about stability.  Still gets sore after tough runs.  Speed not quite back yet.  However I am constantly pushing the envelope.  Here is my last couple weekend workouts...

Memorial Day Weekend:
Saturday: Latigo and PCH in Malibu ride 3.5 hrs, followed by 1 hour run.
Sunday: Alcatraz Challenge: 1.5 mile swim from Alcatraz to Crissy Field in SF.  ( More like a 1.7 or 1.8 mile swim for me due to the less than optimal route I took.)
Monday: Laguna Hills Half Marathon.

June 5/6 weekend:
Saturday: 5 hour ride PV-Manhattan Beach-Marina Del Rey X 2
Sunday: Rock n Roll San Diego Marathon Relay. 

The highlight of Memorial Day weekend was the Escape from Alcatraz.  I enjoyed the swim so much that my first reaction after getting out of the water was "Let's do it again."  Of course there was an initial shock to the body from the 55 degree cold water.  Then the waves caused a few unintended gulps of saltwater.  There was the occasional slaps from other swimmers.  But all in all a nice swim in cold water.  Kudos to wetsuits, neoprene caps, earplugs, and my Vibram Five Fingers.

The highlight of this past weekend was the Marathon Relay.  Teams consisted of 4 runners.  My team consisted of co-workers.  We had a Speed team and an Easy-go team.  I was on the Speed team.  I was afraid our team might not live up to its name and be a minor embarassment.  Boy, was I wrong.  We finished 3rd in the All-Men's Relay division.  And we were the 7th Overall Relay team out of almost 200 teams.
Even our Easy-go team took 10th in the Corporate division.

Our Ironteam is going on its annual San Diego 100 miler this Saturday.  Unfortunately I'll miss it.  I have another busy weekend planned however.  My sister is getting married Saturday evening.  But Saturday morning I'll be running in the Xterra Marin Headlands 21K.  This is one of the Top 10 trail runs according to Runner's World magazine.  I'll write a race report next week.  Stay tuned.

Sunday, May 23, 2010

Palos Verdes Marathon and Hospital On Call Marathon

I thought it would be interesting to post my crazy schedule from last week.
Friday July 14th : 24 hours On Call at the hospital working from about 6am to 6am the following day.

Saturday July 15th: Palos Verdes Marathon.  Off work at 6am.  Dress and prep for marathon.  Drive down to Start.  Look for Parking.  Park a mile away.  Jog to registration to pick up bib.  Lineup for port-a-potty.  Head to Start line 5 minutes before 7am Marathon Start.  Take pictures with fellow "Marathon Maniacs".
Run first 13 miles then jog to mile 20 before hitting "Wall".  Craving salt and Gatorade and Gu, but the aid stations ran out of everything except water!  Painful process of walk-jog to the finish.  Finish in 5 hours.
Rest and recuperate the rest of the afternoon.

Sunday July 16th: 24 hours On Call.  Busy day and night!

Monday July 17th: Too tired for planned bike workout.  Slept most of the day.

Tuesday July 18th: 24 hours On Call.  Numerous life and death emergency situations.  Adrenaline and caffeine keep me going and going and going....

Wednesday July 19th: After On Call shift ends, head to Conference to lead a 4 hour+ meeting.  After lunch, head home to sleep.  Later that evening 45 min run and 50 min bike workout.

Thursday July 20th: 8 hours of administrative office work.  Afternoon 1 hour swim, 30 min bike, and 30 min run workout.

Friday July 21st: 10 hours of pediatric cases in the OR.  "Rest Day" before Ironteam Saturday session.

Saturday July 22nd: Ironteam workout in Santa Monica: 3 hour Amalfi loop: Bike-Run-Bike-Run....repeat over and over.  Rest and recuperate the rest of the afternoon.

Today Sunday July 23rd: 24 hours On Call ( again!!!)

Tuesday, May 4, 2010

10 months Post ACL Reconstruction: Wildflower Long Course Triathlon Finisher

Last year I withdrew from the Wildflower Long Course Triathlon because of a torn ACL and MCL in my R knee.  Psychologically, I was so depressed.  I feared that I may never approach the same level of fitness again.  My dreams of running in the Boston Marathon and the Ironman Triathlon seemed to have gone up in smoke.
 
In July 2009, I finally had surgery on my Right ACL using my own hamstring tendon as a graft to replace the torn ACL.  The first few months were again painful physically and psychologically.  Over the summer, I watched runners outside my window and I felt so envious.  Before the injury I took running for granted.  Running was something natural and effortless.  Now after surgery, walking was difficult and my Right leg muscles were atrophied.  I literally had to slap my quads to activate them and force them to contract. 

After the go-ahead to start low impact exercises, I proceeded with stationary bike, then the pool and the elliptical.  I then progressed to walking and finally slow jogging on the treadmill.  Missing the Vineman Triathlon in August was tough, but I continued with rehab and by mid-October, I had finished the Nike Women's Marathon in San Francisco.  In November, I jogged the RnR San Antonio Marathon.  I met a TnT triathlete from the San Francisco Ironteam: Erin and we ran together for a while in San Antonio.  If you read my earlier blog posts you will see that I continued with RnR Las Vegas Half Marathon and then the RnR Arizona 50K ( 31 miles).

While I was getting my running fix, I also rejoined the Ironteam Greater L.A. to accomplish what I had started out to do a year earlier: compete at Wildflower and later the Ironman.  With the support of former Iron-teammates, mentors, and Coaches Paul and Rad, I slowly regained my triathlon fitness.  I made improvements in the swim and also the bike.  The run was the last thing to come back.  I could walk / jog, but real fast running was difficult.  My hamstrings would start to fatigue and get sore first, then later my Right knee would start to ache. 

Going into Wildflower 2010, I had a gimpy Right knee that I wasn't sure was going to hold up and I had a sore left shoulder, probably from swimming.  But I was just so glad to be finally at Lake San Antonio.  I knew I was going to do this.  My goal was just to finish, but in the back of my mind I estimated a finish time of 7 hrs and 30 min.

I had a great drive up with Arkady, who gave me some advice and words of encouragement.  The TnT inspirational dinner was inspiring.  I met Erin again from the SF Ironteam and she remembered me from our run in San Antonio.  What a small world!  The night before the race, I pumped my tires and the front tire blew out.  I quickly changed it and Coach Paul pumped it back up for me and told me to go to bed. 

Finally Race Morning arrived: I set up my transition area, took care of business at the Port-a-Potty, checked out the swim course as the elites went off, revisited the Potty, then finally got in my wetsuit.  I thought I sprayed my anti-chaf lubricant on all the vital spots, but somehow I missed my Right underarm.  This proved to be a painful mistake since I wear the sleeveless wetsuit and the rubber burn in my Right armpit bothered me all through the rest of the day ( and even now as I type this up.)  I approached the swim launch area and wished many of my teammates well.  As I waited for my wave to finally go off, Coach Paul asked me how I was doing.  I told him I was nervous and had butterflies in my stomach.  Coach told me, "You're just going swimming in a lake, it's not like they're gonna shoot you or anything."  That calmed me down.  The swim went really well and I kept telling myself I'm just having a nice swim in a cool refreshing lake.  I tried not to let the other swimmers around me, slapping me in the feet and legs bother me.  I took it one buoy at a time, reached the turnaround, and started swimming for home.  It was then that I had my first major obstacle of the day, a swimmer ahead kicked me in the right eye/ goggle.  That stunned me a little.  I tried to readjust the goggle and water got in.  Now I could only see clearly through my left eye.  When I tried to adjust the goggle, I think it messed up my rhythm and I swallowed some water and started coughing.  I could feel the panic level starting to rise.  I told myself to relax, ignore the goggle issue and just finish the swim.  I had a more difficult time sighting, but eventually I finished.  Time was about 47 minutes and this was about what I expected.

I took a little longer at the transition about 8 minutes.  I remember putting on my cycling gloves and realizing I forgot sunblock, so I took off the gloves, applied the sunblock and then putting on the gloves again.  I also remember struggling to put on my knee high socks and debating whether to skip the socks on the ride.  But I thought taking an extra minute to put on the socks will pay dividends down the line during the ride and the run to delay leg fatigue.

I went out on the ride and initially a lot of people passed me.  I remember what Coach Paul said about the race starting at mile 42 and it was all about getting to that point before really starting the race.  So I rode conservatively and let the race come to me.  My second and third obstacles occurred early in the ride, one of my water bottles popped out and one of my 3 energy bars popped out of my bento box.  It turned out OK as I was able to replace a water bottle at an aid station.  And the 2 energy bars were enough for the ride.

I saw many Ironteammates during the ride, some passed me and I passed others, but I was always encouraged by them and the chants of "Go Team".  Gradually I increased my bike intensity.  I hit Nasty Grade, but didn't realize I was on Nasty until I was already halfway up.  I kept telling myself to keep a nice easy and consistent rhythm.  I didn't want to go out too hard and not have enough left for Nasty.  Well before I knew it I was up Nasty and had plenty of energy, so I made the turn and charged up the next incline.  Finally, I let loose on the downhills and the flats in the remainder of the bike course.  I finished in about 3 hrs and 35 min. ( about 25 min better than I expected)

I reapplied sunblock and got in my running gear with my racebelt and off I went: 4 min transition.  But I forgot my nutrition for the run.  Now I got worried.  I was already short 1 energy bar on the bike ride, and I needed to get to an Aid station with Gel and I wasn't sure when that would be.  I prayed that I could avoid the Bonk.  I also saw Sara Tung starting to cramp and struggle with running.  My legs didn't feel much better during those first few miles with all those hills.  I kept thinking this is cruel, whoever designed this run course was real cruel.  It was starting to get hot, and I tried to run in the shade when possible.  I passed a few more teammates during the run including Chris Trent and Gordie.  I saw Gordie limping and he informed me that he twisted an ankle.  I tried to encourage him and then I continued. 

During the run, I ran much of it with a TnT participant from N.Y., I never caught her name, but we passed each other several times throughout the run.  I finally got to mile 6 for some much needed gel.  By this time, I was drinking 2 cups of water and pouring 1 cup down my hat or my shirt at each water station.  I remember seeing many teammates in the pit.  I saw Carlos, Bobby Endo, on the way back Sara, Efren, Rachel Chai, and others.  Finally I ran down Lynch hill faster than I have since my injury and subsequent surgery.  I manage to pass Bobby Endo at this point and he said I was running great.  I ran through the chute like a madman.  I saw that the runner in the chute ahead of me was in my age group, so naturally my competitive juices came out and I knew I had to finish ahead of him.  I finished the run in 2 hours 26 min.  Total time for 70.3 miles was 7 hours and 2 minutes.

I was so happy to see my Ironteammates at the finish cheering for me.  That was the best feeling in the world.  The hugs, handshakes, slaps on the back.... these memories I will always cherish.  Then being on the receiving line to welcome back other teammates as they finished was just as rewarding.  It was only afterwards that I realized that some of the teammates at the finish line greeting us, did not get to finish their race.  I am so proud of them for giving their all and then being there for the rest of us as we finished our races.  Way to go Ironteam.  This is what the Ironteam family is all about.