Wednesday, October 3, 2012

Figuring It Out

Thank you to all of my friends that have reached out to me to find out what is wrong.  (which, btw, is nothing serious, just frustrating.)   I have been meaning to blog about it, but I have not been able to find a way to condense this post, as it takes an entire year's review to put it all in perspective. 
I had a huge laugh last night when I showed up late to our little get-together and the minute I sat down, everyone turned to me and said...."what is wrong.  what is the diagnosis! spill it!"  All eyes on me- no pressure!  LOL!  Thank you, friends, for loving me enough to be concerned. 

So, I have tried to condense it a bit, but here it is.  I am mainly writing this for friends that might be having similar problems and are looking for some information or just someone to chat with about this.  Under no circumstances is Make It Happen allowed to become a blog for me to whine. 

The first few months of this year, I felt like something was off.  Coming off of a supremely healthy 2011, I couldn't figure out what was wrong.  I was getting sinus infections and felt my immune system was going down.  I was doing my workouts, nailing them in fact, but time and time again, I kept reporting that something wasn't right. 

I went to Tucson camp as a last ditch effort to try to "get in shape."  What I was really looking for was that "feeling of fitness" that just seemed to be alluding me.  I was training, but never feeling fit or good.  Oddly enough, I could hang on to everything we did in Tucson.  I couldn't put my finger on things.  I wasn't fit, yet I could keep up?  

Then I got Parsonage Turner Syndome (PTS) to the left shoulder.  Two different ortho docs + MRI +EMG confirmed spontaneous nerve damage that wiped out my rotator cuff muscles.  The ortho docs told me to give it 1-2 years for the nerve and muscle to come back, but were not even remotely concerned about it.

*FYI, if your body spontaneously attacks its own nervous system, please consider this a red flag.  It is not normal. 

So the rest of the year was racing and training that seemed successful but never felt great.  I never felt tired or over-trained.  I still had a ton of motivation and didn't feel that I needed a break.  It was just that something was off. 

So, I will try to fast forward through all of this.  But by the middle of the summer, I was having what seemed like repetitive sinus infections that were not responding to treatment.  I felt like I had the flu constantly.  I was more than tired.  I wasn't sore or over-trained or over-worked.  It was a fatigue that you cannot even achieve through training.  It is indescribable.  I went to 6 doctors...I was told it was sinus, allergies, bronchitis, and even asthma.  Asthma?  I race triathlons.  I have never had a breathing problem in my life.  I was given a ton of medicine, half of which I never took because I just couldn't relate to the diagnoses.  

But, everything got treated like it was a mini-infection, and I treated it the same way as well.  I had no reason not to do so.  The cycle would look like this:  be sick, see the doc again, rest a few days up to a week, resume easy training again.  It made sense to me- the docs conferred.  That is what we do with a little infection, cold, or flu.  Right?

What didn't make sense it that even with what seemed like a ton of rest, I couldn't run 5 minutes or even spin for 5 minutes at 50W.  Seriously.  I finally just stopped trying to train at all. 

I luckily found my way to an immunologist that ran the blood work that I had been begging all of the other docs to run.  We found some pretty nasty viruses (mainly Epstein Barr which is alive and happily active.  Hello Mono! and yes, you can test for this, but most docs run the test to show exposure, not activity.  And we have all probably been exposed) and a major bacterial infection ("walking pneumonia"/ mycoplasma infection).  I work in home health, so the opportunity for me to be exposed to some nasty things is high.  We also found some really low hormone and thyroid levels, which are also just a small part of a big problem. 

The point is, you can't look at each of these things individually.  The body is a system.  I was having system failure, not a single infection of this or that.  I was having trouble with my immune system.  The PTS earlier in the year was the canary in the coal mine.  It was a sign of some possible auto-immune issues.  (I hate that metaphor, by the way, because it suggests harm to animals.  I can't find another one to fit, though. If you know of a better one, send it my way.) 

It seems so obvious, right?  I spent a year catching everything.  Of course I was having an immune system problem.  But no one treated it as such.  No one treated the cause.

So, while I am treating EBV and a bacterial infection now, I am mainly working with the doc to figure out how to strengthen my immune system, which is the true problem.  All of this is more than I could ever write in a blog.  It is involving medicine, but it is also involving some food changes.  It is really complex, and I don't think I understand it all well enough to yet share it in a helpful way with others. But, when I "get" it, I will share. 


There is a lot more to this story than I could really ever communicate on the blog.  Plus, I don't want this to become a "sick" or "whiny" blog.  But, one thing that has been really hard for me is to see that there is hardly anything on the internet about mono/EBV and triathletes.  All I can seem to find is that it can take a really long time to return to sport after dealing with the initial active virus as in 6 months to 2 years.  But, most of the literature deals with the average person that is not competing in athletics.  There is a big difference between wanting to be able to do a 30 minute walk on the treadmill and being able to do a 3 hour ride with intervals. 

I have found that there are actually a good handful of triathletes that have battled the same or similar problems, but they just have not shared it with others.  I wonder if it is because there is still some sort of stigma that this is just an "over-training" problem.  After 4 months of hardly being able to do anything, I can guarantee you that it is not a training problem, although if you persist in training through this, you will have a problem.  If I had known in June/July what was going on, there is no way I would have continued to train. 

So, if you have something similar and want to chat or share ideas, treatments, etc....definitely feel free to email me or message me on facebook.  I will be happy to share what I know and what we are doing if it would be helpful to you.

In the meantime, just know that I am cool with everything- making a battle plan- and using my excuse to rest to keep me in bed till 9am this morning until I can no longer deny that I have to go to work.  I have no doubt that I will come back stronger, because when my immune system does get strengthened after some diligent work on my end, the sky is the limit.  :)

xoxoxo

And to end on a super awesome note for the day- congrats to JV on her marathon PR of 3:29 - so amazing! and to Angie on her 3:00 flat marathon with NO watch.  Yup, this girl never runs with a watch.  Ever.  She just runs.  Super awesome running chicks!!!!!




 

11 comments:

Angela and David said...

Glad you are finally able to piece all of your health puzzle together. I have no idea if what I was experiencing was similar because I was just treated for all my various symptoms (constant sinus infections, intestinal issues, routine stomach viruses) and never a cause - I was also tested for mono but didn't have it, but after having Zach I felt like I was constantly battling my body in my training. I never felt super fit. It never got as debilitating as what you experienced but taking all the time off to have Landon and changing my diet seems to have helped me a ton (knocking on wood as I type that). I certainly don't want to go back there and more mindful of rest and listening to my body but would be interested in following your journey because 1) I would love to watch you come back super strong and 2) selfishly, so I can learn from you.

Steve said...

zoiks.

Here is to a quick healthy recovery. Sounds like a doozy. Anything that drains the energy is the pits in my book.

Glad you can attack things with a healthy and positive attitude.

Anonymous said...

I experienced everything you listed except for the sinus infections. I've had one bacterial infection after another, except mine seem to manifest in my gut. What set me off was when I got a horrible stomach virus 36hrs before I was to race IM China and then tried to race the IM so sick I ended up in the med tent before I crossed the finish line. That was when the dam broke. I still have trouble, but I am able to train regularly again, yet it's been an on going battle for 2.5 years. And you're right, I couldn't find ANYTHING from athletes with similar issues. I figured they just threw in the towel once this happened to them and I can understand why. What I find SO hard is, we're not really sick per se. Our body's just won't function the way we're used to them functioning and no it is not an over training issue. I've had trouble writing about my issue because I don't want to disclose EVERYTHING I've been through to the internet world. Hopefully, one day when I feel 100% I can share my experience and how I dug my way out. I'm glad you shared your story!! :)

Jennifer said...

Wow... so glad you're getting to the bottom of this! I've gone through something similar this year... figured out it was low vitamin D and also gut bacteria. Both can really mess you up from an athletics standpoint. It came to a head when I was diagnosed with ulcerative colitis (an auto-immune disease)... but like you said, that was just a result of overall system failure.

I too am working on diet and taking large amounts of good probiotics, which you might consider... it works wonders for your overall system health! Recommend VSL3 in capsules... expensive but man do they work. I take 2 - 3 per day, which is something like 200 billion live cultures. Hoping you get back to full health soon!

cheryl said...

That's a lot for you to digest. But its great that you finally found someone who is helping diagnose the problem(s) and find a path out of it. Be patient (you are sooo young) and have many years of being an athlete in front of you.

Molly said...

Well I'm glad you are finally starting to get some answers! I really hope you can start to put your system back together now - I know how much you want to train again!

Damie said...

Okay. WOW! Thank you guys so much for sharing! Yes, there is even so much more to the story than I care to share on the internet as well, so I understand. Those are awesome recommendations. And, like this doc says- so much of our immunity comes from the gut, so it is really a whole different area of healing that has to happen. Plus, these auto-immune disorders are no joke! Thank you guys, for reaching out. And, I am hopeful you guys recover and get back to racing well!!!!

Michelle Simmons said...

I have also heard about the immune system being closely connected with gut health... which is why our diets play such a huge role in our health! I 100% believe that the reason Moana gets sick less than most kids is that she eats so many fresh fruits and veggies (every day!) Anyway, my acupuncturist has some secret Chinese methods he uses to enhance immune system... so not sure if you've got access to a good acupuncturist, but that might be worth looking into? When I was finishing up chemo treatments (forever ago) I also went to an acupuncturist who helped enhance my immune system and helped me get my whole system back on track after being knocked out by poisonous chemicals... leave no stone unturned... you'll be back! :) xoxo

Anne-Marie said...

Oh man, that's crazy! I'm so sorry you had to go through all of this. Thanks for sharing... Knock on wood- I've never dealt with anything like this, but it's really good information to be aware of.

Kudos to you taking care of yourself now and keeping a positive attitude... you will rebound and come back stronger, I know it!

Clair said...

Just stumbled on your blog, and wanted to wish you a speedy recovery. I had an awful case of mono that wiped me out for most of 2009. Let me know if you want to talk about strategies for getting - and staying - healthy. Good luck!

Unknown said...

Great to see you on Monday, Damie!! I'm so glad you have a diagnosis and a plan. Knowledge is half the battle!!

Feel better soon so you can come run with us.

Until then, we shall meet over margaritas......