Thursday, April 16, 2015

Why am I rocking?

Have you ever reached the point where  you are willing to try just about anything to just have a problem that you are experiencing go away?

Well, I have reached that point.  Approximately 9 weeks (yes, weeks) ago, after a normal swim workout I felt as if I had residue water left in my ear after swimming.  The usual hop on one foot while shaking the head and drying drops did not do the trick.  It was annoying but not painful in any way.  The symptoms were minimal.  Crackling in the ear and as it was coined a fish living in my head.  What to do to get it out!!

A few weeks passed and I still had the feeling of water stuck in my ear but still just annoying.  Swim workouts were going normally and other than living with crackling it wasn’t a problem.  I then started to have additional problems to the tune of dizziness.  The dizziness caused me to faint one night and ultimately ended up with an egg on my head after banging it into a countertop on my way down.  My swim workouts became difficult as I suddenly felt that I was swimming in very choppy water and would look around only to find that I was the only one in the pool.  (One of those times that you really hope that the lifeguard is truly watching you and knows what to do in event of emergency!)

I finally decided that I had had enough.  I stopped swimming (although ignored the suggestions to stop running and riding – I would have gone crazy!) and made an appointment to see my primary care doctor.  There were a few people at this point that knew my symptoms.  One being my nutritionist who felt that there may be a deficiency issue somewhere and advised having blood work done.  After a visit to the doctor, it was determined that there was no infection in my ears but I was placed on two antibiotics and one over the counter medication just to make sure.  The plan with no change was to go onto an ENT for further evaluation. 

Ten days later I was sitting in the ENT’s office.  I went through a complete hearing test with an Audiologist and the testing process to determine if the ear crystals had dislodged.  Passed both with flying colors.  Not necessarily the news that you are hoping to hear when you are trying to figure something out.  I talked with him about the blood work and an extremely thorough panel was ordered and a prescription was added to attack any possible viral infections that may exist.  Plan with no change – additional testing to determine what is triggering the dizziness.  Not looking forward to that.

A fasting blood draw when one is already dizzy is definitely a challenge but the lab techs handled it perfectly.  I then started the prescription.  Side effects of the prescription - #1 – dizziness…  hmmm… I already have that and boy did it get worse!
The prescription not only added to the dizziness, but I now had a twitch in my left eye lid and the crackling sound (think tissue paper crumpled in your ear – moving around) now was showing up in both ears…  My hands swelled and I had cramping in my left hand especially on the bike.  As a overall clean eater with very little extras filtered through my body I definitely react to foreign stuff! I did get into the pool just to see if things had changed at all.  That was a disaster.  2400 yards of rocking and rolling!

I had many conversations along the way with the doctor’s office.  Are the side effects normal?  Have they considered XYZ as a possibility? (Everyone around you provides their theories and diagnoses and at this point I am willing to explore anything and everything if we can get the fish to go away!)

Blood work normal – perfectly healthy – no issues…  Bummer.  Couldn’t it just show one deficiency?  A quick easy solve?  No such luck.  I was definitely happy to finish the prescription as well. 

Then the next lead.  After sitting for a free chair massage at an event – while spinning with my face in the little face hole, the massage specialist said your Eustachian Tubes are clogged.  I had not told her any of my story,  I was just hoping for a relaxing couple of minutes.  I asked her  what made her make that statement and she stuck her finger in right below my jaw between my ear and the back of my jaw bone and I about launched out of her chair.  So, I believe you now what’s the solve!  She sent me to talk to the Acupuncturist.  She suggested getting in for an Acupuncture session. 

Today was my third session of acupuncture.  I cancelled the scary test that I had scheduled after the last prescription to give this a bit more time.  My dizziness is substantially better and the crackling is not nearly as bad as it has been although it is not completely gone.  I am hopefully that the progress I have seen will continue and I plan to jump into the pool again tomorrow to test out my dizziness there.  Hopeful that I can swim with 8 weeks to go until my race.


Lessons learned:  Don’t discount anyone’s input.  They are only trying to help and the solution you are seeking may not come from where you expect it to.  Endurance athletes know their bodies better than most.  Don’t ignore the signs and symptoms or decide to live with them.  Be grateful for every step of your journey – they  are put there for a purpose.


Wednesday, April 15, 2015

How Much Do You Sweat?

As the next phase to my endurance training, I received information about Sweat Testing and decided it was time to have the test completed.  I have always been a sweaty person, at least in my own opinion.  I am the person that purchases shirts in colors that I know won’t show the sweat so that I don’t find myself in embarrassing situations.  Based on the fact that I sweat sitting still, you can only imagine how much I sweat during a normal training workout and add in temperature and humidity and it is simply crazy.  I was interested to find out how much I am truly loosing during my training and how best to maintain what is lost so I can press on through my training or event. 

The Sweat Testing process is fairly easy.  Like I said I sweat sitting still so it should be a slam dunk.  On two separate occasions on my own schedule I had to weigh myself prior to working out in the nude after using the restroom.   Upon completion of the workout, I had to once again weigh myself prior to using the restroom and record my weight as well as the amount of fluids consumed during the workout.  I typically take in about 15-16 oz of fluid in a 60 minute training session.  My weight was 1-2 pounds below the starting point.  This determined that I sweat at a rate of 0.8 Liters per hour. 

The next step of the process was to visit eNRG performance and Dina Griffin.  The sweat test is a two step process which involves no exertion.  The first step is to have two electrode pads on your arm for approximately 5 minutes.  There is a bit of tingling sensation but for the most part, you cannot feel anything.  After that the pad is switched out for a receptor that sits on your arm underneath a strap.  The receptor collects the sweat and slowly turns blue as it gathers.  This takes about 5-10 minutes.  Once it completes, the liquid gathered is input into a machine and the machine provides the Sweat Test Concentration Score.  In my case this number was 35.  This translates into the loss of 716 mg of sodium per Liter of sweat.  It turns out that this is fairly average in comparison to the rest of the world which was surprising to me. 

The take away is this.  In my future training sessions, based on knowing what I am losing along the way, I now have a direct plan on what and when to replenish both water and electrolytes.  This should improve or at minimum maintain my performance and allow me to continue to focus on my finish line goals. 


Please let me know if you would like additional information about Sweat Testing.