Training setback – worse than I thought

While I am very thankful that I am still alive and my organs are functioning, the events of the last three weeks have been even more of a physical setback than anyone thought. We, including myself, all knew I would not be as strong as I had been before my hospitalization. But everyone thought that I would bounce right back, and it would probably only take 2 weeks for me to return to full strength again.

After I lost all the water weight from all the edema, I found that I had lost all the muscle I had worked so hard to put on over the last few months, and more. I find myself in a far weaker state than I have been in years. I have lost all the muscles on my upper body, my left leg muscles had gone, as well as my usually very strong right leg. I was incredulous that my body could have wasted away so quickly. My weakness is definitely not the result of just a few weeks of bed-rest. I am pretty sure that the muscle loss is a thing that happens when you have massive organ failure/ blood toxicity etc. (I have heard of that happening in that context). Basically your body is dying and it is using all of its resources to focus on staying alive, so the muscles are among the first to go (not sure if you metabolize them to maintain energy, or if it is that the cells die because they aren’t getting nutrients). It did not help that I didn’t have much body fat going into this.

It is incredibly disheartening to be unable to do the most basic of exercises (e.g. lift feet to the bar you are hanging from or even simpler leg lifts), be struggling on 5.9’s. I am trying to be positive, but some times it is hard to do so.

I came across this paper about the topic. I didn’t realize Intensive care unit—acquired weakness (ICUAW) and muscle wasting in critically ill patients with severe sepsis and septic shock was a thing. While this paper talks about patients who were far more ill than me, I am experiencing the same effects. Actually, this paper on Sepsis-induced myopathy is probably more accurate in my case.

All this has made me very anxious about preparing for these climbing competitions. Clearly, there is no way I will be in any shape to compete at the US Adaptive Climbing Nationals in the second half of June. But, if I decide to compete anyway and try to win a spot on the team, will I be ready for the World Championships in September? Does it even matter?? It was sobering to find out that sepsis has a mortality rate of 53 percent. I was fortunate enough to fall in the other 47 percent.

The road to…the Intensive Care Unit (ICU)

(Apologies for typos, spelling errors, poor sentence construction etc. This will be explained later).

My blog posts are infrequent, but when I do post it seems like I have something eventful to report and muse on. This is eventful.

I was grumbling about not being able to find a partner to climb outside with me over the long Memorial Day weekend (the previous Saturday to Monday). I was also experiencing very severe back pain (I could not stand anywhere near vertical) which I attributed to poor form while deadlifting. This continued into Saturday and Sunday, along with various waves of having difficulty with balance, walking; forgetfulness and general spaciness. These symptoms overlapped with a previous drug interaction I had between one of my usual medications and an antibiotic I had received from the dentist. Thus we thought if we can identify the one variable that changed and remove it, my symptoms would clear. This did not happen.  After consecutive days of being a pained, confused, teetering mess, Scott and I decided this might just be a bad UTI; why don’t we go to the ER of the nearby Mount Auburn Hospital, get some antibiotics, and be on our way. Certainly with plenty of time for Scott’s Monday late night flight to SF that evening.

I made my way to the ER, walking wobbly but still able to walk myself in. After a short wait, we were escorted in, had my temperature checked and sat waiting to be diagnosed and treated. I did indeed have a UTI and a very small kidney stone in my left kidney. To relieve the blockage, a stent was inserted (under general anesthesia) and I was brought up to the hospital floors for what we thought would be an overnight stay. Scott continued with his travel plans, encouraged by me and the doctors.

Then, things deteriorated very quickly. My blood pressure fell to 50/25, my heart rate was up at 150 bpm….and that is when I was rushed to the ICU for the second time in my life.