The strangest thing

Monday, May 3.

This is the last week (well, maybe next to last) of hard running before I taper for Bayshore. I don't feel well-trained. I mostly feel well-worn. My expectation for the race is simply to finish (the fantasy is to run fabulously and come in sub-4, but really, it is a fantasy. A girl can dream...).

I had 6 miles slated to run after work, but the strangest thing happened to me. I woke up Monday morning, and my lower legs were a little bit swollen -- puffy, like I had been standing all day. The swelling worsened during my shift (lots and lots of standing and walking), and by the time I got home, I had some serious (4+) pitting edema going on. That means that I could press my fingers into my shins and leave dents that were close to a centimeter deep. Not only that, the edema extended to almost my waist. My legs were so stiff and tight that I couldn't have sat back on my haunches if I had tried. I tried to do my six miles, but I simply could not run. I just couldn't. I had dinner with a friend, and then went to bed. In the morning, my legs were a little better, maybe +2 edema, but my face was swollen, and my eyes were so puffy. It was very worrisome to me.

13 miles later (well, 12 running miles, 1 walking mile) in the sun found the facial swelling mostly gone. My legs were less puffy, but not normal. I deal with patients who have swelling like this on a routine basis. I know a bunch of reasons why I might be so edematous, and I wanted to consider none of them. I took an OTC diuretic, and went on about my business, which was to help my children shelter a lost dog for the night.

Today, I talked to my ARNP. We are not worried about me having cardiac issues. My last EKG, showed sinus brady, which was expected. I have had renal issues in the past, but they were related to pre-eclamptic pregnancies. The swelling was bilateral and was almost resolved, so she wasn't suspicious of a DVT. So the usual suspects were ruled out. What came to light, however, is that I ran 20 miles in the suddenly-summer heat and humidity. I put forth a huge effort, and followed it up with 5 hours in the full Florida sun at the zoo with small people. I tend to have waves of nausea now and again during long runs, and post-run, my gut can't handle food. When it can, I tend to eat pretzels and the like -- things that are easily digested. What I don't eat is protein. What I do is beat my body up and then forget to replenish it. I don't do recovery. At all. My ARNP thinks that my piss-poor recovery caused me to have depleted albumin, which caused me to have such bad swelling. Moral of the story? I need to eat protein the day before a long run and the day of the long run. Most people do this. I need to join the ranks of most people. Duh.

Total: 13 miles
Total for week: 13 miles