Running doesn't kill, heat does

This is my first TNT mentor Leslie Jones and her sister Tara. Leslie and coach Ken are by far the biggest reasons I stuck w/ TNT and running. Leslie and her sister Tara were so supportive and so fun--they always came to group runs in Royal Oak, offered to drive me to Kensington w/ them (but I discovered Stoney and loved it), led awesome fundraisers and just listened to all my running stories (and passed many of them on). Well, this picture (despite our grins) represents a sad moment: Leslie and her family are moving the Minnesota and this was her going way party at Bastones and Cinq. I will miss her so much but because of her, even though she is leaving, she helped me build a strong enough foundation that I will keep running and raising money despite what kind of mentor I may have without her.

Tara is our Royal Oak hero-- she defeated a blood cancer that impacted the development of her bones and still gives her pain. Despite this, she also ran with our team and definitely outran me!! She did this in all kinds of weather, terrain, and pain in her legs. She did not "take precautions" because of her smaller bone structure (she told me once that because of her cancer her bones stayed at the development of a 13-year-old while the rest of her continued to develop). Tara ran faster, longer, and more often as race day approached and finished the Bayshore full marathon putting her all in.

Well, a lot of people are saying that Chad Schieber of Midland, Michigan, who died last Saturday at the Chicago marathon, was stupid, that he should have stopped before he died, that he knew he had a heart problem and should have taken precautions.
Guess what his "heart problem" was? His big heart problem was a mitro-valve prolapse-- so saying that his heart problem should have made him slow down in the heat or stop is like saying my hang nails should force me to stop typing or at least slow down.

Many people have this and many of them run very fast marathons because it is a minor heart irregularity. I have a PFO (I forget what the acronym stands for--so I just call it my heart UFO). This PFO was a congenital irregularity with my heart and according to my heart doctor nearly %20 of the population has this, but most, like me, don't know it until they have a stroke or other symptom of a problem. As babies, the walls of our hearts are not sealed so that, before the heart's muscle gets stronger, blood can pass easily between the left and right ventricles. By the time we are toddlers, that wall is erected, sealed, and strong. Well, with the UFO condition, that wall never gets sealed up all the way--so there is a "communication" between the left and right side that allows blood (and tiny blood clots) to get through. I have been running in all weather with this and I am still alive, sore in different parts of my body each week, but still alive.

What does it mean that someone who has a "heart problem" should take precautions? Should they run slower than they can? Less often than they'd like? Take more breaks than they need? I don't think so. Running to the best of your ability is what makes running such a joy--anyone who trained for a marathon would certainly not have held back in training nor the big day because of a minor heart irregularity.

I think it is heartless to blame this man for his death and ignorant to blame running itself as so many couch potato doctors do. How many massage therapists and doctors have asked: "Have you ever considered just NOT running" when I go to get advice on my clicking knees, pulled hip flexor, sprained ankle, low back pain. Um, nope, I haven't and I won't. All kinds of people think runners are asking for injury. Well, yes, we are, so is everyone who does any form of exercise. It is the paradox of life that to build something new you must tear the original down. Our muscles get stronger because we tear them when we lift and our bodies say, "Oh yeah?? Well try tearing THIS down!" and builds a bigger bicep--or, in the runners case, trunk solid legs. Same goes for the heart and lungs of a runner--"oh yeah? you going to push me that hard? you going to make me pump that fast, heave that heavy? Well, try pushing this!!" and our hearts and lungs improve. So we get more pulled muscles-- we also get stronger muscles and stronger hearts. That is what this man did for his heart--he made it stronger by running. Not a stupid idea at all. So what killed him?

Heat and humidity.

Many people who run long distances have difficulty knowing when they are in danger-for a number of reasons:
Reason one:
after some miles, your body greatly increases dopamine in anticipation for the usual pain when running and then further increases it in peaks and valleys as the run continues. This is often helpful because it allows you to keep running, to keep feeling good, and to stay positive. You only notice how much pain you are in when you walk or finish the race--that's why some marathoners (I saw this at Bayshore) literally have their legs stiffen the minute they cross the finish line. One of my TNT contacts, Patrick Strait, ran all out for the Bayshore marathon, felt really good approaching the finish line, gave one last surge, and then fell and was forced to crawl to the finish line and put his foot on the mat so his time could be counted. In his mind, the few feet before the finish line meant victory, meant race done and so his legs locked and he fell. He felt no pain in his legs for the 26 miles before that.

Reason two: Trainers/coaches/and your own self repeat this mantra: "it's not about physical but mental toughness" (The first time my coach said this, I got deja-vu, then I remembered that my brother said the same thing to Rachel, my sister-in-law, on their honeymoon hike through the Smokey mts; I don't think it went over so well in that situation). Anyhow, you are trained to talk yourself out of the pain, to dissociate and think about something happy, to imagine the finish line--anything to avoid focusing on the pain. Any seasoned runner would have this strategy down so pat they might not even be aware they are doing it, esp. at such a critical moment.

Reason three: Heat related injuries are very, very similar to your run of the mill I wish I were dead exhaustion past a runner's "red line"--the farthest point they can go until they've used up all their glycogen stores and begin to feel like two elephants moved in and are sitting on their lungs and legs. Almost always, simply slowing your pace and getting to the next water/gel not only stops this pain but makes you feel even more energized. Heat related injuries cause edema before more serious coma and death from the imbalance of water to electrolytes. Edema (swelling hands, legs, feet) is also a common symptom of simply running long distance w/out enough salt in your body (again the next Gatorade or gel stop alleviates this).

Reason four: It was frickin 88 degrees and more humid than a sauna (See post below. I ran in the fricken soupy hot air Saturday and Sunday) and was OCTOBER people!!! OCTOBER. Not supposed to be hotter than an August noon. Therefore, the people running the race were not prepared w/ enough electrolyte giving drinks at closer stops along the race route and the runners themselves were not able to prepare properly for the heat either with their own water and sports drinks.

Reason five: Runners feel the pain, but most who train for a marathon have trained for months and months--this has been their goal and many runners look forward to a marathon with the same anxious hope that people look forward to their wedding day. So, they have run some pretty tough training days and they will absolutely run through anything the BIG DAY. This is not unique to the runner who died but a mental condition of all competitive runners. There but for the grace of a cool drink of water goes any runner.

Running in that type of record breaking heat and humidity is bound to end in tragedy. I don't blame the racers. I don't blame the organizers. Races are huge events. Stopping one is like stopping a train mid speed: it takes many officials, a mile or so of squealing, grinding breaks, and an extreme but unforeseen emergency. Neither do I blame the volunteers handing out water. Runners do not need nearly enough water on a typical October Saturday than they do on an August noon. No. I blame our increasing emissions of greenhouse gases and rising temperatures. The heat kills, not the running.