A Running Doc’s Life: How My Life Changed Overnight!

Well, I have now been home for over a week, and am starting to make progress. My weight dropped to a max of 14 # loss, and is now leveling out. I can finally start eating, but not everything I want yet. I could not eat anything for 5 days, and then after that it was just toast and bananas. It started out Sunday March 24. 5AM. I just had gotten up to go to the bathroom. No changes. Heading to the sink, when all of a sudden it felt like I got hit in the right side with a baseball bat, and fell to the ground. Then the vomiting started. The pain eased up following this, but then the next 3 hours it kept coming in waves, and more frequent. We were to go run with the run club at 7AM, and I told Sarah to go. I thought I just came down with the flu. She had her phone with her, and at 7:40 I called, and told her to come home to take me to the ER. I could not take the pain anymore. We made our way in, and had labs, CT scan of my abdomen, thinking then it was my appendix. The ER doctor came in to tell us my appendix was fine, but I infarcted my right kidney. That means the blood flow was cut off to the kidney by a clot, and it looked already at that point that I had lost 90% of my right kidney. Next thing is we are in the ambulance to SF (Fast!) to the vascular surgeon at Avera Heart Hospital. We do not have a vascular surgeon in Watertown. This surgeon literally met me in the garage of the hospital as they were taking me out of the back, and telling me all of the ramifications of this, and if there was going to be a chance of saving anything of my kidney, we need to go to the cath lab now and try to remove the clot. Away we went! He was able to remove some of the clot, and then I had a “clot buster” infused through my femoral artery for the next 27 hours, having to lay flat on my back and not move at all! That was beyond word description. I hope to never have to do that again.

This was the picture at the beginning with the clot in my right kidney. Not a lot of blood was flowing through.

This was my kidney after 27 hours of the “clot buster” TPA. I had improved blood flow quite a bit. It helped. I don’t know yet how much it helped…time will tell. But for now I have something of a functioning right kidney.

So how did this happen? All that time I had laying flat on my back helped bring it to light. We had gone to Jamaica the 3rd week in February, so we had a long flight. Also, I was wearing a night splint for my right foot to help with my plantar fasciitis. Well, between the 2, it was enough immobility for me to create a clot with in my right leg. I had pain for a few days after we returned, but no swelling. Usually there is swelling with a clot. At any rate, I thought it was muscle, and kept running, biking, swimming…all of my usual daily things. So, several tests later, they found I had a clot in my leg, and also a defect in my heart called a Patent Foramen Ovale: PFO. It was present since birth, but no issues…until now. What happens with the PFO is you can have what is referred to as a “paradoxical embolus”. The blood clot moved up from my leg, to my heart, and from there is very common to go to the lungs, and you have a pulmonary embolus. If you have a PFO, the clot moves from one chamber, the right atrium, through to the left atrium, and back out through the arterial system…to lodge somewhere else. By far and away the most common is presentable by having a stroke–up to 75% of the time. In my case, going to the kidney, it occurs 1% of the time. 1%!!! I guess I feel lucky. I have 2 kidneys, but only one head. This could have resulted in far more significant problems. But now the PFO had to be fixed, or it would keep happening!

They have a device that they deploy into the defect of my heart to fill the gap of this PFO. This is what it looks like.

This is what is looks like in a diagram of the heart closing the PFO. Thank God for modern medicine. This device going through the femoral vein in my leg to my heart first began undergoing trials for use in 2012. If this would have happened prior to then, I would have had my chest opened up in order to fix it. Now it was an hour procedure, and if everything went well, home the next day!

This is how it looks in me! It worked! Other than getting rid of the nausea and vomiting, and trying to gain strength, it was a matter of time for it to heal. I am currently on multiple meds, including multiple blood thinners for awhile. I can walk, but no aerobic activity for minimum of a month, but have been told once this all heals up, I can run marathons again if I want too! What am I going to be able to do running with no hole in my heart anymore? I am learning to be on the other side…the patient side. It is very humbling!

I appreciated all of the texts, emails, notes, cards while gone. Jill and Tim Makepeace had these cupcakes delivered. Sarah and the kids loved them, and I saved one for me later to have, but just could not eat anything with the nausea and vomiting. The nurses taking care of me got to enjoy the rest, so then they kept an even closer eye on me after that! My consecutive streak came to an end, but I started a new one. It started off last Sunday walking 1/4 of a mile…1/4 of a mile!!! This after biking 30 miles and running 3 miles the day prior to all of this happening. I am now up to 1 mile walking, which I will hold for awhile. It wipes me out. I have had time to reflect on the good things in my life, what truly is important to me, and how lucky I really was! I am here! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day of my next streak: Day 8

A Running Doc’s Life: The End of the Consecutive Exercise Streak…

I always knew someday my consecutive exercise streak would end. I did not know how it was going to be, or the circumstances that would be involved. The one thing I knew for sure it that it would be because of something I would have no control over. It was not just going to be an “excuse” to say I could not do it that day. That day happened last Sunday. I will expand on this more in the next several weeks, but will briefly summarize by saying my life changed that morning. I developed a clot going to my right kidney, and I was losing my kidney. I also had a clot in my right leg, and found out later that it was brought on by my heart, and had what is a called PFO: Patent Foramen Ovale. 3 angiograms later, with 3 subsequent procedures, 5 days in the hospital, I was able to come home. My exercise streak however, stopped. Day # 4196. This is how far I went. This has been driving me for the last 12 years. Lead by example. Don’t just tell people, my patients, that they need to stay active. Show them! As the saying goes: Records were meant to be broken!

Sometimes, you do just need to go with the flow! Life is always changing. My world changed over night. But, I am here. For the next 6 months I will be on multiple blood thinners, and will be taking it easy. I can’t do any aerobic activity for the next month, and then will be very slow progressing. But, I still can!

Things will changes. Things are going to be different. But I will be able to run again later. It will then be time to start a new consecutive streak. I look back now and wonder how I went this long. Things come up, life throws curveballs. Most of the time it is just an excuse. An excuse your mind can take control of. You just need to take charge. Many different events, races, causes have been accomplished over this time period. Many of them with my Watertown Area Run Club (WARC) members. Working together to raise money for charity, FARA, and going somewhere different for a race just to have fun!

Last Fall, Jill, Amanda, Paula, Sarah, Tom, and I went to Denver to do the Rock and Roll Half Marathon. These 3 came up with a shirt they had printed: South Dakota Girls…and Dan! We had so much fun with this, and had so many comments on this!

That same WARC spirit carried on this last week as well. Here they had a large group together on Wednesday, and ran for me, which would have been day # 4200! Holding a sign, and peanut M and M’s (my favorite candy!)…it still brings tears to my eyes when I look at what they did for me! But this is what WARC is about. We go the extra mile for one of our own. This is why this group of people/friends are so important. It is not about running. It is about being there for each other, and we just happen to run at the same time! I can’t thank WARC enough for this! I was at a pretty low point that day, and just had the 3rd procedure done, and this just lifted me right up! Thank you!

I guess it is gonna come down to how tough am I? I have gone through adversities before. One thing for sure, I am not gonna let this be a excuse to not restart another consecutive streak. It did definitely put life in perspective. We are all human, and don’t know what tomorrow is gonna bring. Live today! I have been watching (too much) TV lately being down this week. A movie came up that is one of my favorites. Shawshank Redemption. It has a great line in it that opened my eyes once again: “Get busy living, or get busy dying!” Choose…

Sarah and I have done a lot of talking. The consecutive streak was not the goal. The exercise was not the goal. Being together is the goal. I am going to listen to her and recover from all of this because I want to be able to do more things/events with her later. My daughter is getting married in August…the first wedding for one of my kids. I do not want to miss that for anything. I will be back. I will start a new streak. In the process, maybe this will not only help motivate others, but also help motive me! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day finished at 4196!

A Running Doc’s Life: Happy St. Patrick’s Birthday to my Sarah!

How do most people spend their birthday? Well, running with your friends, of course! Today is St. Patrick’s Day, and also my wife Sarah’s birthday! I want to wish her a very special birthday. We started off once again on Sunday morning running with our run club members, and then went to Tim and Jill Makepeace’s house to celebrate with breakfast! A great morning.

She got flowers sent to her at work on Friday. A great way to start the weekend!

A few weeks before this we got to have our vacation in Jamaica. A great place to relax, celebrate, and get away from the snow. It was in the mid 80’s everyday! We got to walk the beach every day as well. No matter what, vacation, work, whatever, we remain active! We always have, and hopefully we always will.

One afternoon when we came back to our room, they had this done on our bed! Perfect surprise! It was a great get away to spend some time together!

We are working on year 29 together. I wish you a very Happy Birthday, and love you very much!

I hope to have many more years to celebrate birthdays, and other special occasions with you. Just like our wedding day theme: “Two hearts that beat as one!”. Nothing has changed, except it means even more today than it did then! Spend time with the people you care about. Stay active, and keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 4190

A Running Doc’s Life: “If I can take it, I can make it!”

Out in the snow and cold with the Watertown Area Run Club

I had mentioned in an earlier post about motivating mantras…sayings that can help keep us focused, and concentrate on what we are doing, and our goals. I was just watching the movie “Unbroken” the other day. A prisoner of war, American, Louis Zamperini, a former Olympic runner, was a prisoner of war in Japan. What helped get him through was a saying his brother had taught him while he was training for the Olympics: “If I can take it, I can make it!” I find myself saying that a lot now lately too. With the weather, the injury with my foot, being busy at work. I find myself wondering how I can keep taking this! I have to keep trying to focus on the future, while at the same time taking advantage of the now, and appreciate what I can do….which has me doing a lot of bike riding. 

Park and Rec keeps helping to plow sections of trail, but they are getting deep!
This was Sarah’s view running on Saturday

It gets frustrating having to deal with the snow, and the cold, wind, etc. Will Spring ever get here! We have to keep reminding ourselves of positive things, and keep repeating them to ourselves over and over!

Focus on this, and repeat!

We can make those motivating mantras as long, or as short as we want. Make them individual to ourselves, and make it have some meaning.

Short and sweet…Just Be…
Running in a group with our run club helps keep each of us going, and motivated!

Keep focusing on what is ahead of us. That goes for everything in life. Life goes by fast as it is, and when things start getting tough, we wish time would go by faster so we can get through it easier, but life is not easy. Just like trying to work on our health, and keep active. Nothing about it is easy. “If I can take it, I can make it!” FOCUS! CONCENTRATE! And, above all, be positive, not only to yourself, but to others. Others around you, family, friends, they may be struggling more than you. Be a positive influence. Be someone that somebody else can look up to, and gain knowledge, motivation, and just plain happiness! Then in this whole process, you are helping yourself as well, and working on your health/fitness as well. So then we can all say:

We can keep repeating this to ourselves all of the time!

What is your mantra? What would motivate you? What is it that will trigger that desire in you to push you beyond what you think you could do? I am going to continue this topic next week as well. It should be important to all of us, as well as motivating. Keep moving everybody! 

Dr. Dan

Consecutive Exercise Day #: 4183

 

A Running Doc’s Life: Time for a Winter Get Away!

Sarah and I just got back from a week get away in Jamaica, and boy was it perfect timing. Everybody is so sick of the snow and cold, that just having some warmth, sun, beach, and ocean was better than any prescription treatment I could think of. Time to relax on the beach, listen to the ocean, read some books (for fun!), take a nap, go eat, and then repeat! No time schedule. No pressure. Do whatever, whenever. Perfect break. And…no snow, or cold! Sarah and I each year go somewhere warm in the Winter just to have a break. By the time we come back, we hope that Winter will be ending soon. It does not look like Winter will end soon this year, but still made for a great break.

The ocean views were great, especially sunrise and sunset. It is very relaxing to just sit and listen to the ocean waves, and not wind with snow swirling! Sarah and I went for at least a couple mile walk everyday along the beach, including the last day when we had to leave mid morning to go home on Friday.

They had a fitness center on the resort we were at, and we hit that everyday too. I did not run, but was biking and using the elliptical, and Sarah would get her run in. I am going to ease back into this again!

I did see a great name for a boat while we were there!

Some things just say it all. I am going to ease back into running again this week. I had a set back the last 2 weeks, and physical therapy has definitely been helping. I will resume that again this week. The rest of the exercise is just not the same when I can’t run. I have been having a really hard time trying to stay motivated. The weather is only making this worse. Everybody else is crabby because of the weather, but I think I am more crabby because I have not been running, and then the snow and cold just compounds it even more. My foot was doing pretty good with the walking, so time to start testing it again this week. Back to the pool again too! I sure hope by Spring when the weather does get better that I will be back outside on the road again running. I feel like I have been missing out on a lot this past 3 months or more. My daughter wrote in her blog this week that you really don’t know how much you miss something until you can’t do it. Right on! I have been struggling not being able to run more. At least I can do something to keep exercising, otherwise I would really be miserable! Sarah and I got in on the classes by the “fitness instructor” at the Sandals resort, Romario. He was a riot. He took this picture of Sarah and I doing our class on couples stretching along the beach. Who says exercising can’t be fun!

We are at least now into March. Even though we are hitting one of our coldest days this Winter with the wind chill again. This has to end soon, right? Stay positive, not only for yourself, but for others around you. After all, the saying goes: “What does not kill you makes you stronger!”. The only problem with this weather is it can kill you! Be careful. Stay active, just make adjustments and do it inside on some of the really bad weather days. Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 4176