I had to Fake It

Have you ever found yourself in a position where you had to fake it? A couple of months ago, the circumstances were a little awkward, but I really felt backed into a corner. I had no choice. I had to smile. I had to pretend.

It was December, 2017. I knew going in to my oncology appointment that all would be fine as far as my cancer was concerned. I was unafraid.

My oncologist said, “Hey! Great news! You are four years cancer-free!” He was smiling. My husband was smiling. I felt nothing. A couple of awkward seconds passed and I realized I needed to DO SOMETHING. So, I smiled,nodded my head and said, “Yeah, that’s great! Awesome! Thanks so much!”

Four Years is Awesome! Can I Please have Four Easy Years Now?

Four years is pretty damned amazing, especially for pancreatic cancer. I know so many other people have been denied the opportunity to experience four years after a cancer diagnosis. I am not ungrateful. I know exactly what pancreatic cancer means for most patients. I knew what it meant when I was diagnosed with it.

I mean, how could I NOT fake feeling ecstatic? That would be horrible. That would make ME horrible. I felt guilty and ashamed for not genuinely wanting to do cartwheels up and down the hall. I knew the people in the full waiting room were not likely getting good news. Yet, I had a very long list of other things which were weighing heavily on my mind. It is a little bit of one of those post-cancer bullshit realities: even when you face cancer, other hard things continue to come at you.

pancreatic cancer

Four years cancer free. Smiling because that’s what I am supposed to do.

When I was diagnosed in 2013, cancer was not on my ‘worry radar’ at all. I really did not think about it. I never was angry about having cancer because I do not think I ever fully moved beyond being stunned by my diagnosis.

Like many young(ish) people who have never been ill, I thought I would have cancer, get treatment and I would either die from it or I would go back to living life as it had always been. I am grateful the first option did not happen. I was surprised when B also did not happen.

Cancer comes along and creates upheaval for everyone in its orbit. It impacts the things you see as well as those things beneath the surface which have yet to make an appearance.

Earthquake, Aftershocks and Tsunami

For many survivors, cancer is the 8.9-on-the-Richter-scale earthquake which comes out of nowhere. After a period of terrifying rumbling and shaking, you and your loved ones are left huddled together (if you are lucky) in the rubble, tasked with rebuilding something which will hopefully make you feel safe and protected again. You take the pieces, patch them back together as best as you can, but there is no longer any illusion of real safety.

You know another earthquake could roll through at any time, and you know your structure is probably not strong enough to withstand more destruction and trauma. In fact, waves of aftershocks keep occurring and no matter how well you feel you have braced yourself, the shaking chips away endlessly at your foundation.

All you can do is hang on to one another and hope for the best.

Four years of survival. It sounds glorious, and in many ways it has been; however, it has also been four years of aftershocks and tsunamis. I am still here, but I feel like I have been shaken and nearly drown.

The first aftershock came in the form of a scare two years ago. The scare was a large lymph node in the celiac plexus area. I went in for a biopsy, knowing that if my cancer was back it would be extremely difficult to fight. The celiac plexus is a difficult area to reach and it is surrounded by major blood vessels. So, it is hard to remove anything there and with the blood vessels in the area, it is easy for the cancer to travel to remote parts of the body.

It was terrifying, obviously to go through a couple of months not knowing if the cancer was back. One of the hardest parts for me was not being 100% transparent with my kids about the situation. Steve and I knew we were terrified, and I did not want to shake my children’s’ foundation unnecessarily. We would tell them what we knew when we knew it. Ultimately we did not know for sure until after the biopsy and more CT scans.

There were other things that happened during that time, and I found myself sinking into a deep, dark pit of depression. Ultrarunning was what kept me literally and figuratively moving forward. I spent the summer of 2016 training for the Run Rabbit Run 100. I put one foot in front of the other, day after day after day, trying to keep the panther from eating me alive. (You can read more about that Here)

As fate would have it, the race brought me the joy I needed, but a few months later I realized I had an injury I needed to address. I needed a delicate and possibly run-ending hip surgery. I had a hip labrum repair at the Steadman Clinic in Vail, CO under Dr. Phillippon. I had the right hip operated on March 30, 2017, just under a year ago. (Read more HERE)

My recovery was going extremely well until A)I hurt my shoulder swimming during rehab and B) my foot started to hurt. I had some foot pain off and on prior to RRR 100, but it was never enough to stop me. As soon as I started running again and adding hills into my training program, my foot started hurting. It hurt so badly I walked with a limp.

EVERY SINGLE DAY I woke up and told myself, my husband, my friends, “Today is the day! I am going to get out there, have a great run and turn this around!” I did not want this foot injury to sink me mentally after everything else I had been through.

After months of positive self-talk which did nothing to help me, I wondered if I was doing it wrong. Or if I was delusional…or just plain old stupid.

Tonia Willy Williams Canyon

For the last six months, I have tried different things to fix my foot, as I have slowly watched my identity of being a runner disappear over the horizon. I would not care so much if I could hike or do anything without being pain. But that is not where things are for me right now.

Dear God, NOW What?

In the meantime, I have been diagnosed with two other significant health issues, one being an issue I caught on my cancer CT scan report and brought to my doctor.  (People, always read your reports and ask your doctors what stuff means. If you do not get good explanations, go somewhere else!) There is another issue I am still trying to figure out.

In addition, a very dear. very much-loved family member is also having significant health issues. It kills me to be far away because I cannot hug him during his own aftershocks. And, of course, I can never forget the impact my cancer had on my children.

Who am I and Why am I Here?

The constant stress of the last four years have indeed triggered a chain reaction of problems.

I MISS the old me. I miss being a person who took for granted the fact that I would live to be 90 or older. I miss my strong, uncut body. I miss the body which rebounded from illness and injury quickly. I miss not being in pain.

I miss the unquestioning faith I had in my physical abilities. I miss the belief I once had in myself that ‘anything was possible’.

Tonia Smith Pancreatic Cancer

Tonia & Steve

I miss having a body that was imperfect but dependable. I miss taking for granted there would be more running and more races for years to come. I miss believing with every fiber of my being that I could conquer every mountain and finish every 100.

And I miss how running protected my mental health and emotions. I miss knowing I could go spend a couple of hours in the mountains and come back better for it.

Maybe it will all come back. I have not give up all hope, though there have been some extremely difficult days. I keep thinking that after battling cancer, life should guarantee you a couple of relatively easy years, but it does not. For now, I will just hold my loved ones in the rubble and hope we can all keep hanging on. And I hope at my five-year appointment, I no longer need to fake it.

Tonia Smith cancer

With my Aussie, Willy, a couple of months ago.

EEG

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The 100 Mile Race: Is there a Gender Bias?

Lotteries for two of the most sought after 100 mile races were both this weekend (in case you know nothing about 100 mile races, those would be the Western States 100 and the Hardrock 100). I was not going to write anything about this topic, but up in my FB memories today came posts from years past about not getting into either race via their lottery systems. Furthermore, my Facebook feed is blowing up with articles/blog posts/ commentary about how we make the system more “equal” for women.

The issue, as I see it, is that we are talking about two entirely differently subjects.

  1. Are the number of women drawn via these lotteries in proportion to the number of  female entries?
  2. How do we make the number of entries more equal, as in 50-50? Currently, most statistics show the finishers of 100 mile races are approximately 20% female.

Lotteries

Let me start by saying, no lottery system is ever going to be perfect. So, this is not a critique of the lottery system, but rather a look at how these lotteries promote or do not promote fairness among male and female applicants.

Western States and Hardrock are extremely popular races for different reasons. If you are a road runner, think ‘the Boston Marathon of 100 mile trail races’. It has a storied history and attracts top talent in the ultrarunning world. Hardrock has a reputation for being incredibly difficult. It has a 48 hour time cutoff. Think brutally long, difficult climbs/descents in the unforgiving but beautiful San Juan Mountains of Colorado. If you can hang in there long enough, you can witness some of the most beautiful land in the world.

These two race lottery systems differ quite a bit. Western States gives out a certain number of automatic entries (past top ten male and female finishers) in addition to a number of golden tickets via sponsors, etc. So, for many elite runners, Western States may be able to provide a way in, bypassing the lottery system.

Hardrock, on the other hand, divides everyone into three lotteries. 45 spots go to the ‘Never Started’ category (for people who have never started the race for any reason). 33 spots go to the Veterans (those who have FINISHED five or more Hardrocks). 67 spots are allocated for ‘Everyone Else’. This could be people who have DNF’d previously at HR, for example.

But wait, there’s more…you have to qualify for both races (which is good, IMO). Once you qualify, the first time you enter the lotteries, you get one ticket which goes into the pool. If you don’t get in the first time, you have to requalify and then when you re=apply you get TWO tickets in the pool, and so on.

This is a gross oversimplification, but the bottom line is, you have a very low chance of getting into either race on your first try…think 2%. If you do not get in that first time, you have to go back and requalify at select races each year in order to get your name back in the hat. If you miss out on a year of running, say due to pregnancy, or in my case, injury and cancer, you have to start all over again with one ticket.

So let’s go back to the two issues at hand.

Are the number of women at these popular hundred mile races proportional to the number of women who apply?

Let’s look at Blake Wood’s statistics from this year’s Hardrock.

gender ultramarathons Hardrock

Here are the number of applications, by catagory, broken down by gender, for the Hardrock 100.

 

First it must be noted that the Hardrock system is kind to veterans. This is not a judgement. It is simply a statement. Women made up 17.3% of the total applicants, but they came in at a hair under 9% of total acceptances into the race. You can see how this is broken down by category.  In total, 13 women were accepted via the lottery system for this race. In my opinion, ensuring the acceptances mirror the actual application rates would create a more equitable system for women who qualify, but that, again, is up to the race director and board to decide.

For Western States, I do not have a complete breakdown on the entry statistics, but my quick calculation of those selected via golden tickets and lottery show the entries to be approximately 17% female. 105 of the 369 spots were automatic entries, meaning NOT distributed via the lottery.  What was the gender breakdown of lottery entrants? Was it close to that 17% we see on the entrant list? Since I do not have gender breakdown of the applicants, it is impossible to say if there is a proportional number of females to males in this case.

I do not believe any female runners think it is their ‘right’ to take spots away from male runners. However, I do think women would like to have proportional representation at these races. Right now, if you are a 5+ year male or female veteran at Hardrock, the system works in your favor. In addition, at Western States, if you are an elite runner, either one who has come in top ten before, or one with connections for a Golden Ticket, the system seems to have ways to help top females find their way in.

Of course, for elite runners who are seeking money, either in the form of prize money or sponsorships, this issue comes to down to wanting to have the same opportunity to put food on  your table as the elite males. Of course, parity is important to these elites. But it is also important to women who simply want the opportunity to test themselves at these big, competitive events. The bottom line is, I think races that do entry via lottery should work hard to make sure women are represented in proportion to the rate at which they apply.

Now, on to topic two: ‘Why are the genders not represented 50-50 at 100 mile races?

Really? Do we even have to have a discussion about this? Is it because our uteruses will fall out? Hmmm…no, that’s not it. Is it because our breasts are too heavy and we keep falling over when we try to run downhill? (Well, maybe, in some cases). Is is because we keep getting lost in the woods because we are more into touchy, feely things rather than map reading?

It really should not be a mystery to anyone but MOST women are still working double duty. We have jobs AND do the majority of child care, house cleaning, cooking and emotional labor at home. Please don’t tell me ‘oh but this one elite runner ran 100 miles and nursed her baby along the way’. Yes, yes, I have read her story and I was nursing babies at marathon finish lines long before most people reading this probably laced up their shoes for the first time. Certainly there are people who can make it happen, but MOST women are just trying to make it through each fucking day without keeling over from mental and physical exhaustion.

Many women just do not have the time available or the physical or emotional energy to train for 100s. When my children were young, I could find time to train for a marathon. I could justify giving myself four hours alone each week, but I 1)did not have time to run more and 2) did not have the money to pay enough babysitters to train for a 100. This is not whining or complaining. It is simply the truth. I was ‘lucky’ that I could run marathons. Many women I know did not have time even for that. There is a reason why the most popular race distance for women is the half-marathon. You can run for 30-90 minutes a few days per week and be home, showered and ready to tackle the day by 7 am.

There are also reasons why most of the women I know who run 100s either a) do not have children b) do not work fulltime outside of the home if they DO have children or c) have children who are grown.

Yes, it can be done, but it depends upon many variables, including having a nonrunning spouse or the ability to pay for childcare so you can fit in running together. Because women do the majority of emotional lifting at home, too, we often feel that we are not entitled to take the time from our families to train. It is a multifaceted issue, for sure, and I am not blaming men, per se. Women carry the babies, women nurse the babies. Our bodies make things different for us. The division of labor at home, both physical and emotional, has evolved over time. Certainly men are doing more than ever, but it is not 50-50 for most couples yet.

Whether right or wrong, women are judged by their ability to mother, keep house, work and do many other things. I have known tons of men who have run numerous 100s, taking time from their families to train and race, and no one judges them. They don’t seem to think it makes them a worse parent. Women who are not available to their families ARE judged, by themselves, by other women and by society at large.

Many women still do not have access to quality, inexpensive day care just so they can work full-time while they raise their children.  Running 100s is pretty far down on the list of priorities for most women. Throw in safety concerns many women have about running alone and it is no wonder women do not make up 50% of 100 mile race fields.

Until women and men carry equal loads at work and at home, and until women feel safe out in the world alone, I do not expect there to be equal numbers represented at longer ultras. These are the real issues women face when it comes to running 100s.

I wanted to run a 100 since I started running at the age of 28. I wanted to push my boundaries. I like doing things that scare other people. I like doing things that not many other women do. It’s exciting and enjoy being an outlier. I did not have the time to train until I was 44. I waited not for the time to be perfect, but until it was manageable.

In 2013, at the age of 44, I finished as tenth female at the Vermont 100. For those who do not know my story, I was diagnosed with pancreatic cancer a couple of months after finishing Vermont. I took the year off from racing to undergo major, radical abdominal surgery followed by six months of chemotherapy. I ran the Bear Chase 50 mile race 3 months after finishing chemotherapy. I came in second at the Bryce 100 just shy of one year from finishing treatments. In 2016, I finished Run Rabbit Run 100. I had a torn labrum repaired in March 2017.

I don’t know what the future of running 100s is for me, but as I approach 49, menopause and all of the changes that brings with it, I know the clock is ticking. Maybe I have another 100 or two in my body, but maybe I do not. Either way, I do not have time to play the lottery game at this stage in my life. I made that decision last year, and while I was sad not to be playing lottery roulette this past weekend, there are lots of beautiful races out there. While I have would have loved to run WS or HR, I’ve overcome a metric shit ton of stuff just to finish a 100. If I have it in me physically to train for another 100, I will choose a different, beautiful race that wants me there, grey hair, wrinkles and all.

women 100 mile

With my super supportive husband who has crewed and paced me at all three hundreds I have finished.

 

 

 

 

Detoxing from Doing Epic Stuff

Four months have passed since I had my hip surgery/labrum repair. In that odd way our perception of time works, some days it seems like it hasn’t been that long. On other days, it feels like it was a lifetime ago. Enough time has passed that I am now starting to reference time in terms of ‘before’ and ‘after’, much in the way I have done with cancer, marriage, divorce, becoming a mother and many other major life changes.

During the ‘before’, I spent nearly every spare moment running mountain trails. I often put in a couple of 20+ mile runs in the hills each week. Now, the ‘after’ looks a lot different. I have trouble fathoming what I was doing at this time last year. But the happy news is I am indeed running!

Return to Running

I started running right at 12 weeks. Following my prescribed progression, I started with one minute of running followed by four minutes of walking, repeated a few times. Now I have run as much as three consecutive miles without taking a walking break. I am still transitioning back into being a runner.  Some days I walk and some days it is a mixture of walking and running. I am also getting into the foothills for hiking/running a day or two each week.

I am genuinely grateful to be able to do what I am doing just four months after this extensive surgery. I have worked very hard to make it to this point. I expect I will continue to improve, though I still have no idea what that will ultimately mean for me in terms of running. I have little doubt I will continue to run but I don’t yet know if the ‘after’ period will involve racing. The jury is still out and I won’t make any decisions on that until I am further along in the healing process.

Measuring Time

For the last several years, training for an ultra has been an incredibly important part of my life. In some ways, training for these big races is how I have come to frame the passage of time. That may sound odd, but when you spend months dedicated to preparing for an event, thinking about it, dreaming about it, planning it, it becomes intrinsically entwined with your memories of that particular moment in your life.

What do I remember about 2012? That’s the year I ran my first two 50 mile races. 2013 is the year I ran my first 100 miler and 100K…and then had surgery for pancreatic cancer.

Vermont 100 July 2013

Packet Pick-Up Vermont 100 July, 2013

Bear Chase 100k

Bear Chase 100k September 2013

What do I remember about 2014? I ran a 50 mile race three months after finishing chemo.

Bear Chase Trail Race

At the finish line of the Bear Chase 50 with RD and all around great guy, Ben Reeves.

2015 was the year of training for the Bryce 100. I trained in a lot of snow that spring…and the race was amazing.

Bryce Canyon 100

Beautiful scenery early in the Bryce Canyon 100 mile race.

bryce training in snow

What I remember leading up to Bryce: slogging through deep snow in the spring.

2016 was the year I spent in the hills around Colorado Springs training for Run Rabbit Run 100.

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Most of the time I am content to be where I am right now, but there are difficult moments. Not having a race on the calendar for 2017 sent me into a temporary tailspin not long ago. Logically I knew all along I would not be running any races this year. I knew there was a distinct possibility I would not be running at all in 2017 (or ever) following my surgery.

Cruising Ultrasignup

All the same, I felt some moments of panic with the realization that training and racing were out of the question for the year. I suddenly found myself cruising Ultrasignup.com looking for a race hookup like a junkie. I looked at Run Rabbit Run and thought, “Oh look! There are spots still left in the 50! I could probably hike the whole race if I had to!”

After a few hours, I was able to reel myself back in to reality. I am used to trying to just power through diffiulty, but this is something I cannot force through sheer will and/or mental and physical strength. The body heals on its own time table. I can do things to help the process, but I can also do a lot of foolish things that would hurt the process.

I tried to put my finger on what it was I felt I was missing…or maybe missing out on.

Run Rabbit Run 100

Foliage on full display at the Run Rabbit Run 100 mile race in September, 2016

olympian aid station

Olympian Hall Aid Station, Run Rabbit Run 2016

I Need Something but isn’t more Cowbell

After spending the last 20 years running the trails and roads, going for a run feels like fulfillment of both basic and higher needs.  I love the ritual months-long build-up before a race, working towards short-term and long-term goals. I miss the early mornings spent on the trails, lost in my thoughts of how to make the world a better place and myself a better human being. I long for the feelings of freedom and power that come from exploring the trails, alone and unafraid.

ultrarunning

Enjoying solitude on the trails.

While I love working towards a race goal, the months of effort, the hard work involved, is what makes the experience gratifying for me. When I see articles about running a 100 mile race on extremely low mileage, I immediately think, “Why on earth would you want to do that?” The race is merely the celebration at the end of months of putting in the hard work. I spend weeks, months, years earning my way to the festivities. The dedication to the process is its own reward.

IMG-0798

My running partner, Willy.

I went early today for a few miles alone with Willy in Cheyenne Canon. Somewhere along the way, I realize that one key component I have missed out on during my recovery from hip surgery is the joy I feel from the solitude of being alone on the trails. I have spent plenty of time out walking in my neighborhood or at the gym or in the pool. There are benefits to all of these activities and being dedicated to them over the last four months has gotten me where I am now. I can get physical exercise anywhere, but only time in the mountains seems to bring the sense of peace I need.

IMG-0812

It’s Not You, It’s Me

Research provides plenty of evidence about the benefits of spending time in nature. I have never doubted the findings because I have experienced them myself. Today, while out away from technology and traffic and noise, my mind shifted into its creative space and I finally realized I am not really ‘missing out’ on anything at all. This summer has actually been exceptionally busy and while I love racing and the social aspect of running, what I really crave is the ‘quiet’ I can find only when I am alone on the trails.

I managed to get in 9 miles on the trails early this morning and was thrilled to see no other humans until I was over 7 miles in. In this world of ‘afters’, 9 miles is nowhere close to 20, but it felt just as wonderful. It was emotionally satisfying and physically challenging in exactly the way I needed. While I love my running friends, in this world of #zerolimits and baddassedry, right now I am content to go at my own pace, concentrate on healing and take care of my own needs.

Do I still Exist if I Don’t #DoEpicShit ?

Instead of looking back on 2017 as the year I did some ‘epic’ race, I will remember it as the year of recovery and no racing. I cannot and will not cap off the year by completing one big goal. Instead I am making a bunch of intermediate goals in the form of a list of trails I want to explore over the coming months. I am grateful I can still find peace, solitude and joy from doing something purely to feed my soul. If I continue to be smart and patient with my healing, hopefully I can soak in the tranquility and beauty of new open spaces as summer winds down and the cool winds of fall usher in the magnificent colors of fall.

Does My Recovery Make My Ass Look Fat?

Over the past couple of weeks I have told several people how proud I am of myself for not having attempted to run at all during my rehabilitation from hip labrum/FAI surgery. I mean, this is a HUGE deal for me. I started running when I was 28 and basically just never stopped. I had one long layoff several years back when my hip issues started, but both before and after that, I was an every day kind of runner. For me to go 10+ weeks without running…without even attempting to run…is actually quite remarkable. I am not sure which makes me more proud: how hard I have worked on the physical rehab or how hard I have worked to be OK with not being a runner for a while.

Hip labrum repair FAI

All smiles in Vail because I got good news from my medical team!

Progress

I last gave an update at around 40 days post-op. I am now at about 10.5 weeks post-op. I returned to Vail to see my surgeon, Dr. Phillippon May 31st, 2017. I also saw his Athletic Trainer, Mark, and my favorite PT, Melissa, at Howard Head in Vail. The news I got all the way around was extremely positive. They were quite pleased with my strength, as I exceeded where they expected me to be at this point in my recovery. My flexibility and range of motion still need work, but that is also ‘normal’ for this stage in the game. I cannot run yet, but there is a bunch of stuff I am now allowed to do (hiking, stair climber, elliptical) that was off-limits previously.

FAI Hip Labrum repair

Hiking ten weeks post op in Cheyenne Canon with Willy.

‘Secrets’ of Success

My recovery success so far comes down to making good decisions and working hard. (I know you were hoping I would say it is due to my vegan or paleo diet, but no, that is not the case). I did my research, chose a great surgeon with a great rehab team in Vail (thank you especially, Melissa!), and selected a wonderful PT in town (Kevin at Synergy). I have been patient, I have followed the protocol and I have worked diligently at my prescribed exercises every day. I have not ‘cheated’ on the rehab program. I am not trying to be ‘ahead’ of schedule. My goal is to be right on schedule, which is exactly where I need to be.

Learning from Past Mistakes

Some of you may be thinking, “Well, duh…what’s so amazing about that?” The thing is, my thirty year old self would not have been patient. My younger self would have rushed the recovery and likely would have caused more harm to my body. My younger self would not have been able to deal with the the difficult moments in life without being able to go for a run. My younger self would have worried about getting out of shape. My younger self would have beaten herself up over gaining weight during recovery.

My older self has learned some sense of patience and perspective. My older and wiser self has learned you either pay for lack of patience and discipline now or you will end up paying for it later. My older self is learning to focus on the daily process. I cannot control the past or what may happen two months from now, but I know what I can do right now to make myself healthier and stronger in the future.

Hip labrum FAI surgery

First walk in May!

The Body Image Trap

I knew the recovery for this surgery would be long. I knew I would not be able to run for months. I knew I had to be OK with potentially gaining some weight and not being or ‘looking like a runner’. I decided long ago I would not allow myself to have this surgery if I knew my body image issues would undermine my physical recovery.

I am physically ‘softer’ than I used to be. I am not thrilled about some of the changes Anyone who has dealt with an eating disorder or body image issues can relate to the fear of what will happen when weight gain is almost a certainty. For years, running kept the body image demons at bay. I did not weigh myself. I did not worry about what I ate. As my surgery approached, I wondered how I would mentally handle a long period of mandatory inactivity.

Does My Recovery Make My Ass look Fat?

I know it is really hard to believe, but I stopped running and probably gained a few pounds (I don’t weigh myself)…and the world has not stopped turning! The sun has continued to rise every morning. My husband and children still love me (actually, my husband thinks I’m sexier with a little more curve to my body). While self-acceptance has been a bit of a struggle, I know if I am going to heal properly, I really need to be OK with where I am right now. When I find myself worrying about weight or appearance instead of focusing on the end goal (returning to pain-free running) I think of one of my favorite quotes by J.K. Rowling:

“Is ‘fat’ really the worst thing a human being can be? Is ‘fat’ worse than ‘vindictive’, ‘jealous’, ‘shallow’, ‘vain’, ‘boring’ or ‘cruel’? Not to me.”

Fat is Not the Worst Thing We Can Be

As a woman, I am aware that so many people (including other women) want to reduce us down to our size, our shape, our weight, our wrinkles, the gray in our hair. Sometimes even the best and brightest among us forget we are so much more than our exterior selves. Too many of us worry that gaining weight or growing old means we have little value to society; that we are somehow no longer important when the beauty of youth fades. To not have a perfect exterior, whatever that means, is to be somehow unworthy of love.

The truth is the beauty of youth fades very quickly. Youthful beauty can offer some cover for character flaws for a time, but there better be something positive and meaningful underneath the glossy, shiny exterior. My bout with cancer gave me an early lesson on the aging process. I have a deep appreciation for just how transient youth and beauty are. In the blink of an eye, it seems, one day you wake up, look in the mirror and wonder who is looking back at you.

When your body has been through an incredible amount of stress, it can be somewhat distressing to look at yourself and wonder what the hell happened. Sometimes thinking about how much I have overcome is helpful. While I can draw some strength from knowing what I have been through, I do not want to live in the past. And while I know it is good to have goals, I also do not want to live in the future.

I am working on reminding myself of the positives I bring to the world today, no matter how small or insignificant my actions may feel to me. When the negative thoughts start to pop up, I think about the project I finished, or the the person I made laugh, or how I had a meaningful talk with my kids, or how I told my husband I loved him as he walked out the door this morning, just as I do every day.

In my heart, I know none of this shallow & superficial stuff really matters, but old thought patterns are difficult to completely eradicate. While the body image demons are hard to completely silence, I am trying so hard to keep their comments to a whisper and find some peace within myself. Now, if you will excuse me, I need to hit the stairs and the weights, because that is what is important right now, in this moment.

 

 

 

Off the Deep End

Forty Days ago I had hip surgery. This past week I hit some major milestones. I am now cleared to drive my car.

driving

A driving selfie just because I was so darned happy to get to drive myself for a change!

I got to go on my first short walks with my husband and the dogs.

Sadie rolling

I am mostly weaned off of my crutches, only using them when my leg becomes very tired or sore.

I have been faithful to doing my physical therapy exercises. I go to the pool 3-4 times per week. I went from barely being able to swim for 5 minutes to now being able to swim a mile (using the buoy) with relative physical ease. I am still grateful for the ability to swim for exercise. If it weren’t for the pool, I would have no way to work my heart and lungs for the first twelve weeks post-op.

The Pool: The Depths of Sadness

Yet I still don’t love swimming. Every time I go to the pool I have to have a serious heart-to-heart talk with myself. It takes me several minutes to psych myself, first to the leave the house and then, when I get to the pool, to go in. There is something I find depressing about the pool.

At first I thought that it is because you can’t really talk to anyone while you are swimming, but then I realized it is more than that. The pool, for me, amplifies feelings of isolation. When I head to the pool, I convince myself it will be a time of solitude and reflection. But the pool seems to always be busy. Instead of relishing some time to be alone with my thoughts, I find myself surrounded by people, often in close proximity, but without being able to connect with anyone. There are cursory words, ‘hi, mind if we share this lane?’ But that is about as far as the conversation goes. There is a profound sense of isolation that comes from being surrounded by people without any real sense of connection.

Isolation Vs. Being Alone

It isn’t that I don’t like being alone. But the experience through running is different. I have spent countless miles and hours alone on the trails. I come away with a clearer head. On the trails, I can focus on the world around me, taking in the beauty of nature, while allowing my internal world to work through life’s problems. I come home feeling freer, lighter, calmer. The time on the trails gives me a perspective that is hard to reach in other situations.

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Being alone with one’s thoughts without traffic, noise, technology and other distractions is a rare gift these days. Several recent studies have shown how important time in nature is to our mental health and well-being. After spending nearly 6 weeks without a single excursion to the trails I love, I realize how important that time is for my own sense of mental and emotional peace. Being alone on the trails gives a sense of connection to the universe. Being in the pool surrounded by people I don’t know leaves me feeling empty.

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The Intimacy of the Trails

There is something else that sets swimming in the pool apart from running the trails. There is a sense of intimacy that comes from relationships built on the trails. I joke that running is a sort of ‘truth serum’ that causes you to share things with people that you might not every share otherwise. Run with a partner and you will soon know everything about that person. When I think of my closest friends, the image that comes to mind is often a particular conversation or snapshot in time on a trail. Topics we might never bring up in other circumstances become subjects of intense debate, scrutiny and mutual understanding on the run.

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The Things I Learn About Running from Not Running

I don’t crave large numbers of friends built on superficial relationships. I live for the few people with whom I enjoy deeper conversations and connection. I desire the closeness that comes with truly knowing others. I want the relationship where we love one another not despite our flaws and inner secrets, but because we trust one another enough to share them.

 

Those are the moments I miss right now. It isn’t training or racing or putting in big miles or tempo runs or hill repeats that I want at this point. I long for those moments of being purely alone in the mountains. I miss the quiet moments with one close friend. I yearn for feelings that cannot be quantified or measured, those moments and conversations that leave me both energized and grounded in a way nothing else does.

So for now, the pool leaves me feeling cold, both emotionally and physically. I will keep going because I know eventually it will pay off and allow me to return to what my heart and soul crave most. For the time being, I will try to envision the mountain vistas with each stroke and breath as I try to stay afloat, forever moving forward.

Tonia Jacks

28 Days

Today marks four weeks since my arthroscopic hip surgery. Before going in for surgery, I researched the procedures and recoveries pretty extensively. I talked to other patients. I saw a few surgeons. I talked to others in the medical profession. I knew I had to be committed to doing things properly and being in the recovery for the long haul and not the short term pain and frustration. This is not easy for any athlete, but it can be especially challenging for someone who is used to engaging in their sport of choice every single day. And let’s face it: people who run stupidly long distances are not entirely right in the head. Moderation and restraint are probably not things we embrace.

Like many women, I have a lifelong history of body image issues. I have been an every single day exerciser since I was 13-years-old. I have written about body image previously (particularly HERE). As the mother of two daughters and as someone who has struggled with how I feel about my appearance, it is an issue of utmost importance to me. Running freed me from a lot of concerns I held about not being ‘enough’: ‘not thin enough, not muscular enough, not hot enough, not pretty enough…just ‘not enough’. Running was something that made me feel not only ‘good enough’ but just plain old ‘good’.

tonia running CM 50k

2016 Cheyenne Mountain 50K with Tracey: I had one of my worst races due to injury, but like sex and pizza, even when running is bad, it’s good.

This is a Test

I worried a lot going into this surgery that months of not running would make my body and self-esteem take a nose dive. I guess that is one thing about being in survival mode…suddenly the size of your ass seems much less important than just making it through each day. I learned that during my cancer treatments, of course, but we humans have short memories. We forget a lot of important lessons we learn over our lives and sometimes we need to go through a hardship again to relearn them. This recovery period is a test of how well I learned certain lessons the first time around.

Of course, I have not been inactive at all. Since the night of surgery, I have been working very, very hard at my rehabilitation. I do my Physical Therapy exercises twice each day. I spin on the bike for two 20-minute sessions each day. I have been going to the pool and swimming, water jogging and doing my aqua therapy exercises 3-4 times each week. It isn’t running on trails, of course, but it is something and I am diligent about doing it.

There are No Shortcuts

I promised myself before doing this surgery that if I lost muscle or gained weight, I would not engage in self-loathing. I promised myself that I would approach this like I do a race and look at each phase as vitally important in reaching my goals. In training for ultras, I wanted to embrace the entire process, start to finish, the good, bad and the ugly. I did not seek shortcuts then and I am not seeking them now. I want to do this properly or I would not have signed up to do it at all.

Ingredients for Recovery

Right now I need two things to heal properly: rest and good food. This includes lots of veggies, fruits, lean meats and sometimes cookies because a little indulgence is good for my mental health, too. So far, I have been kind to myself and not judgmental towards my body. This is progress.

I Don’t Hate you because you Can Run and I Can’t

I am actually proud of the fact that over the last four weeks I have not once felt sorry for myself because I cannot run. I have not felt jealous of my running friends. I am still able to look at people’s running joys and accomplishments on Facebook and think how genuinely happy I am for them. I am so glad I can celebrate along with people who are still fulfilling running goals and dreams. I hoped I wouldn’t feel pathetically sorry for myself following my surgery, but you just don’t know how things will impact you until you experience them personally.

So those are the things I really feel good about and have even gone better than I thought. But there are also things which are harder than I believed they would be and some things I had no idea would be an issue at all.

I Knew this Would Be Difficult…

I really miss being independent. Not being able to drive myself frustrates me still, but I know it is temporary and I am grateful for help. I could never have done this without my mom here.

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My mommy has to drive me everywhere still.

Trying to sleep in the CPM is just so difficult for me and lack of sleep for four weeks is really hard to deal with. I will be shedding the CPM this week, so this too is temporary.

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Hooked up to the CPM, NICE machine and  DVT calf sleeve

Sitting up causes a great deal of pain- more pain than I thought it would. I was in so much pain last night after working on stuff at my computer for several hours that I wanted to cry. I wanted to cry but I couldn’t cry because I was in too much pain and just too tired. All I could do was lay down on ice for the rest of the evening and pray I would feel better in the morning.

Didn’t See THAT Coming

In many ways, the hardest part has been the stuff I was not able to plan ahead for. I did not anticipate was that I would be on medications (not pain meds) for a month which would make me very sick to my stomach and dizzy. For 28 days, I have felt like I have morning sickness that lasts all day. Aside from PT, I am spending a whole lot of time laying down on ice and just feeling ill. I am far from resuming my normal life.

After beginning to progress towards weight-bearing, things that didn’t hurt at all before are now quite unhappy. My adductor muscles are very angry and so is my IT band. This is to be expected, but I was doing so well at first I believed maybe I would escape with no pain at all.

I did not expect what a toll this would take on my mental faculties. I apparently am not the only one, because a friend of mine who had a very similar surgery also commented to me that her brain was not firing at 100% either. There are a lot of things from the last month that are a bit foggy, and since I am not on pain medications, I cannot attribute it to that. It must just be the stress on the body and lack of sleep. Whatever it is, it is real.

Yay! Phase Two is Here

So, phase one of recovery comes to a close now and I move on to phase two. I can start to say goodbye to the CPM, the DVT calf sleeves, the ice and hopefully the crutches shortly and begin working towards full weight bearing.

The goals for me for now are to maintain my (mostly) good attitude and continue to adhere to PT protocols even when I am feeling poorly. Equally importantly, I hope to continue focusing on my end goals and recognize that each moment, especially the hard ones, are what will help me get there. I will be patient. I will be smart. I will be kind to myself. I will move forward slowly and surely.

 

 

 

 

 

My Hippie Life

March 30th, 2017 marks the day I officially became a hippie. On that day, somewhere shortly after noon, I had hip surgery at the Vail Valley Surgery Center with Dr. Marc Philippon.

Hip History

My hip gave me some trouble several years ago. In 2009, I turned 40 and my ass fell off. Maybe that is a bit of an exaggeration, but, I trained really hard and ran a couple of good (for me) races, culminating with an 8th place finish at the American Discovery Trail Marathon. I won a little cash and enjoyed the race tremendously.

Tonia ADTM awards

I went home, very sore and spent the rest of the day reclining on the couch. The next day, I could not stand up straight. I was bent over like a 132-year-old person. Imagine my surprise when I saw my picture gracing the front of our local newspaper’s sport section (photo courtesy of the Gazette).

Tonia ADTM Gazette

How on earth did I go from feeling good and running well to being 132 years old?

An Eternity in the Pool

After ADTM, I spent months seeking a firm diagnosis on what was wrong, but doctors could not seem to agree.  ‘Maybe’ it was a labrum tear. I definitely had a stress reaction or hairline fracture to the pelvis. Some soft tissue damage. The possibility of labrum surgery was introduced at that point in time, but after doing a lot of research on the procedure, I decided I really needed to spend a long time trying to recover and rehab. I could not put my body through a procedure with an extremely long recovery without knowing for sure if the labrum was torn.

No Love at First Sight

I spent the next 9 months not running a step. I decided I would swim for recovery. I am not a swimmer. Sure, I can keep myself afloat long enough that I will not drown, but I have no technical swimming ability under my belt.

I hated every minute of swimming. The pool was cold and I was miserable every single time I got in the water. As much as I hated it. I never gave up. Over the course of 9 months, I swam nearly every day. Sticking with it paid off in spades when I got back into running. Becoming a terrible but committed swimmer kept me in great shape. When I started running again, I was grateful I had spent all of those months in the pool.

Eventually I got back into running, then racing and ultrarunning.  I never went back to the pool. I never thought I would need to.

Groin Pain or Hip Pain?

While the outside of my hip did not bother me, I occasionally developed what I thought was ‘groin pain’. As it turns out, ‘groin pain’ can actually be hip pain. For months following Run Rabbit Run, I did all I could to get better, but the pain never went away. Sometimes it was more or less intense than others, but it was always there.

Hip Surgery

After consulting with several medical professionals, I decided it was ‘now or never’ time. The labrum was now definitely torn and I needed to get it fixed soon or it might never happen. Results for this surgery seem to depend upon multiple factors, including the surgeon, the rehab work after surgery and the joint itself. If there is too much arthritis, the outcome of a labrum repair will not be good.

Fortunately for me, Dr. Philippon at the Steadman Clinic in Vail was willing to take me as a patient. (Read about the Steadman Clinic HERE) When his clinic contacted me and said he was willing to take me as a patient, I was thrilled. He is a pioneer in hip arthroscopic surgeries and has worked on many professional and elite amateur athletes. (Read more about Dr. Philippon HERE) Though he has strict criteria/requirements for his surgical patients and their recoveries (patients must stay in Vail for Physical Therapy for 4-5 days minimum post-op), I felt that going to Vail would give me the best shot for coming back to running.

I received excellent care in Vail and cannot say enough good things about the Steadman Clinic and Howard Head Sports Medicine. Within hours of my surgery, a physical therapist visited me in the hospital and got me on an exercise bike. (Visit Howard Head HERE)

Vail hospital Bike

I went to physical therapy twice per day for four days after surgery. On the fifth day, I went to morning PT and then all the hip patients went to the Avon Rec Center for a session in the pool.

hip class

How Did I End Up Here?

My labrum tore due to Femoroacetabular Impingement, a condition where excess bone on the hip socket (pincer type) and/or femoral head (cam type) causes damage to the labrum and cartilage. I had both types of impingement, so I ended up having the femoral head reshaped and excess bone cut off the socket. In addition, Dr. Philippon repaired the labrum and fixed several other problematic areas.

The Aftermath

The post-operative pain has been surprisingly manageable. I will be on crutches for approximately six weeks. I must use a ‘Continuous Passive Motion’ machine for 6-8 hours per day. The recommendation is to use it while you sleep, but that just doesn’t seem to work well for me. I do what I can and then make up the rest of the time during the day.

CPM

I am back visiting Kevin at Synergy Manual Physical Therapy in Colorado Springs. (Visit Synergy HERE). I ride a stationary bike and do my PT exercises twice per day, three or four days per week. On the other days, I am swimming/deep water running in addition to doing the PT exercises. So far, recovery feels like I am doing two-a-day training sessions for an ultra. In a way, I am.

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It is amazing to me what surgeons can do arthroscopically these days. All I have are three small scars and a big bruise (not shown).

Lessons Learned…Looking Ahead

The good news is surgery went well. Dr. Philippon and the PTs at Howard Head believe I will be able to do whatever I want to do in time. The recovery from labrum surgery can be long and at 48-years-old my body does not bounce back from trauma the way it used to. I am trying to keep things in perspective and rely on my ultra marathon mentality to get me through the long road ahead.

I have already learned a few things in the last week-and-a-half:

  1. I hate being dependent upon other people. I knew this, but it has become even more apparent this past week-and-a-half. Since I am on crutches, I feel essentially helpless. I can’t carry anything. I can’t do laundry. I can’t fix dinner. I can’t carry a cup of coffee across the house. I need to ask for help with pretty much everything and it really bothers me. Why hasn’t anyone created crutches with robot hands? I would definitely buy them.
  2. Sometimes when you try something the second time around (or even third), you find you like it better…or at least you don’t hate it anymore. It was like that with running for me. I didn’t fall in love with running until the third time I tried to make it a habit. This is the second time around with the pool for me and I actually have been really grateful to have it as an outlet. I am thrilled to get real exercise and get my  heart rate up. I come home thinking, “I am tired and calm and that actually didn’t suck.”
  3. The pool feels warmer when you aren’t as skinny as you used to be. Also, swimming is hard work. Neither of these are bad things.
  4. Using crutches and wearing a brace makes everything take way longer than you think it will.
  5. As much as I hate it, sometimes I really have to rely on others for help. My mom, my husband, other school and volleyball parents have been life savers. I am grateful for their help.
  6. As much as I love running, I won’t die if I have to take some time off. I learned this already, but I am relearning it. Life will go on. I miss seeing my running friends. I will miss certain events this year. But, I will get back to it.
  7. It is good to have goals during recovery. Dr. Philippon and the PTs have all talked to me about my goals and I already have some in mind.
  8. I want to run again. I thought I would be doing Run Rabbit Run 100 again this year. Clearly I won’t be. But I believe I will run again.
  9. I also want to do some other things. Maybe I will take swim lessons. Maybe I will learn to rock climb when my hip is better. Maybe I will hike the Colorado Trail. I want to run but I hope to also discover joy in some new activities.
  10. I sometimes believe the universe is giving me signs. The gentleman who had hip surgery immediately following mine and who I spent lots of time chatting with at PT lives in Steamboat Springs and can see the Run Rabbit Run course from his house.
  11. I could live in a one room cabin with my husband and be happy.

For now, I am focused on getting through these next 4-6 weeks of crutches and equipment. While I know some days will be difficult, I am pretty at peace with the process for the moment. I don’t have a choice, so I may as well make the best of it. The mountains are still calling and I will be there…in time.

Seven Bridges selfie