Category Archives: Reflections

Doctor vs Doctor

It was been 19 months since I went into the splits and tore my hamstring. Yesterday, I went to a new orthopedic.

I began treatment with my first orthopedic about a year ago, last January. He gave me a steroid shot and sent me to physical therapy. After dry needling, massage, and strength training did nothing or potentially made it worse, he finally sent me for an MRI. He told me I had a minor tear with no details. He gave me a PRP injection then told me we were at the end of my treatment.

I had this initial PRP back in May. It cut my pain in half, so a vast improvement, but then it just plateaued. It was better but not recovered, improved but not healed. I was fine to deal with it. Besides, my doctor had given up on me and told me there was nothing more he could/would do for me. However, when the pain seemed to increase again and it was driving me from my bed at night, I decided it was time for an evaluation. If nothing else, to verify I wasn’t making it worse.

I understand that hamstring injuries are notoriously slow to heal. Yet the lack of any progress and appearance of regression concerned me. Also, my doctor’s treatment (or lack thereof) left me with so many questions. Was I doing something that could be making it worse? At what point should I be worried? I had to know, so I got the referral for a new doctor.

After just my one visit yesterday, I can say that my experience with this doctor is a night and day contrast to my previous orthopedic. I did not know the extent of my dissatisfaction with the first until receiving the superior treatment from the second. Allow me to compare the two experiences.

My first doctor and his nurse were very rushed and impersonal. They asked questions but did not seem to actually listen to the answers. I spent extended periods in the lobby and patient room, waiting. I told them in my first visit that I was there to resolve my pain. I then repeated this every visit, yet they never wanted to treat my pain. They only wanted to get me back to activity.

Conversely, this new doctor and his nurse were extremely friendly and attentive. At each stage, I waited for normal and reasonable amounts of time, yet they continually checked in on me to communicate a status update. They were so attentive that it was startling. They also both connected with me. They looked into my eyes when they spoke to me. They responded to the previous thing I said. They waited for me to speak as if they wanted my answers.

I felt so much more comfortable at the new office. I felt like I actually mattered instead of being dismissed and ignored.

When my first doctor got my MRI results, he told me I had a minor tear. That was it. Despite any queries, he only said that and also that the technician probably would have never seen something so insignificant had he not pointed it out. He and his nurse seemed to trivialize and minimize my injury at every appointment. Their dismissive demeanor made it feel like they either did not believe I was injured or doubted its severity.

I learned yesterday from my new doctor that this same MRI showed that I had a labural tear tear in the same hip. The outside of that hip also showed inflammation, most likely from the injury I had before the hamstring. He told me my hamstring had a partial tear, approximately 20%. However, he said, the tear was not on either edge, instead it was in the center of the hamstring, making it extra difficult to heal.

All information that would have been useful A YEAR AGO.

My first doctor told me I could have a steroid shot and gave me one. He told me I could have a PRP injection and gave me one. Then he terminated my treatment, deciding he was done and there was nothing else he could do for me (another indication to me that he did not consider me actually injured).

This new doctor explained my six different options and quoted me the out of pocket price for anything not billed to insurance. I could:

  1. Get a new MRI
  2. Get one or more PRP injections
  3. Get stems cells from a donor
  4. Get stems cells harvested from me without anesthesia
  5. Get stem cells harvested from me with anesthesia
  6. Have the reattachment surgery

Not only did he provide me these options with price tags, he then walked through the pros, cons, and his experience with each choice. He told me that surgery would be his last resort because, with my injury, it could potentially sacrifice the 80% healthy hamstring to repair the 20% damaged. He told me he would prefer the biologic options (PRP, stem cells), but PRP has the most data and evidence behind it. If he did stem cells, he would recommend harvesting my own to eliminate risk of cross-contamination or rejection.

Then he encouraged me to ask questions and share what I thought I would like to try first. I opted to start with another PRP injection, which he then provided me at this same appointment. Then he set a follow up appointment to check how the PRP took and determine next steps.

Yet, with all this, the most glaring and important distinction between the two doctors and my experiences with them was the administration of my PRP injections.

At my first PRP injection, the nurse took my blood and spun it down in the room with me. When the doctor came in, he had me bend over the examination table. This aggravated my injury and felt very awkward. The nurse jabbed the ultrasound into my butt while the doctor stabbed the needle into my tendon. Afterward, he informed me this was all he could do for me. When I told him I really needed something for the pain, that the constant pain was affecting the rest of my life and making me short with my children, he reacted as if I had never mentioned pain and was drug seeking. He gave me Tramadol. As if being unconscious would solve my problem.

Yesterday, the nurse took my blood. While she was waiting for it to spin down, she checked in on me and told me how much longer I would be waiting. She set me up laying on the exam table on my stomach with a pillow. When the doctor came in, he covered me (as much as he could) with a paper blanket. He informed me he was going to start the ultrasound and placed it gently against me. He told before he marked for the injection and inserted the needle. He communicated each step before taking it. After, he sat down with me, and we discussed recovery and expectations and follow up appointments. He shook my hand before leaving. Then the nurse came in and set up my appointment before walking me out.

The two experiences of the exact same procedure were so different, so polarized. After the first one, I felt very uncomfortable and unnerved, generally unhappy. Being bent over the table, stabbed, and then dismissed so impersonally made me feel violated somehow. It never sat right with me and doused any hope I had that the injury pain might actually subside.

In contrast, I left yesterday’s appointment feeling optimistic. I felt like the doctor had actually heard me and I once again had options. And even if my circumstances do not change and the injury does not heal, I at least feel like someone gave a shit and tried. It was simple subtleties and seemingly insignificant details that made me feel violated and dismissed versus cared for and treated. I don’t think anything unethical or inappropriate happened at my first shot and I don’t necessarily doubt my original doctor’s medical knowledge, but I do see now how wholly unsatisfied I was with the treatment I received from him.

These experiences reminded me how individual doctors are and how unique a medical experience can be. Getting an injection is not just getting an injection. The circumstances, environment, and care are crucial factors. I am hoping a more favorable experience cultivates more favorable results as well.

For now, I will be on the couch, willing my body to heal itself.


Christina Bergling



Back Again

I went for a run yesterday. A real run.

Embarrassingly, I have not gone for a real run in a long time. I have gone for runs, sure. Group runs at various paces for various distances. I have been content to jog and cut off miles, which is very uncharacteristic of me. I have even gone for solo runs. Yet I have been talking myself into keeping them short or slow.

I am not entirely sure what had been happening. I felt gun shy about running. In theory, I told myself I missed it and wanted to return to longer and harder running, yet I would permit myself the excuses for it not to happen. Again, not like myself.

I would say it was perhaps my perpetual hamstring injury, but that has not hindered me from running or exercising in the past 18 months, so why now?

I have definitely been distracted by other fitness pursuits. bodyboss was extremely time-consuming. Then there is barre. I have been practicing a lot of belly dance for an upcoming performance I’m traveling to next month. I also picked up a hip hop class (I am terrible, by the way). So maybe I have just been too distracted.

Whatever the bullshit reasons and excuses, I finally forced myself out for real yesterday. I didn’t permit myself the 2 mile or 3 mile I have been clinging too lately, even though they have come to feel like my comfort zone. I forced myself to do the 5 mile route, with the 2 horrible hills.

And it felt great. It felt just like it always did. It sucked; it hurt; I wanted to die. Then it was the amazing high. It was all so familiar, so comforting, so exactly how I left it. I even ran faster than I have been lately. I even managed to improve after such neglect.

That was comforting. Now, I remember why I need it. I recall it’s place in my life and my fitness routine. There may not always be time to satisfy it, but at least now I can keep in mind why I should try and prioritize it.

After reading The Obesity Code and recovering from mild surgery, I find my exercise addiction tempered. Finally, it is not the end of the world if I can’t fit in a workout every day. Finally, I am not doubling down on workouts multiple times a week. Finally, I am allowing myself rest days. It feels foreign and awkward but also like a relief. I have no intentions of falling off the fitness wagon entirely, so I am hoping this reduction is actually healthy.

In all my questing for the next time and the answer, I am hoping this is actually it. I might have just needed a good run for it to feel right.

Christina Bergling


The Next Thing

The last three years have seen me attempt diet after diet, exercise routine after fad. They all begin the same, with such hope, motivation, and optimism. However, after the infatuation wears off, they all have fallen into the same disappointing pattern. I rarely fail at them, but they consistently fail to deliver me results.

I have tried traditional calorie counting, low glycemic, Whole30, near ketosis. I have joined a gym, run constantly, started barre, used a personal trainer, done bodyboss. I am sure I have forgotten multiple tangents and detours.


I have been ramming my head into the same wall all these years, trapped at the same weight (or more) no matter how I work or starve myself. I am progressively dieting stricter and stricter, working out more and more regularly. I have worked myself into multiple injuries. Deeper and deeper into the obsession.


I have felt completely crazy. I have spent far too much time fixated on something I do not want to run my life. But here we go again, onto the next thing. Or things in this case. Two things.

First, I have been working with my therapist, who also happens to be an integrative medicine specialist focusing in eating disorders, through this struggle. With her advice, I went to my primary care doctor to have my hormone levels tested. My estrogen (and iron) came back high, while my testosterone was nonexistent. Quite possibly, I could be experiencing estrogen dominance from my hormonal IUD. So I went to discuss with my OB/GYN, and she immediately removed it to allow my body to self regulate.

Hopefully, normal hormone levels will balance my weight, as well as my mood and energy. Having a monthly cycle should also level out the iron level in my blood. So I am going back to being natural. And getting my tubes tied in a couple weeks.

Second, I have shifted to yet another diet/exercise program. I am still doing barre and running. I am still finishing bodyboss (nearly two thirds of the way through it now). However, my coworker introduced me to a new app to try for food tracking and planning.

The app is called noom and is ultimately not much different than MapMyFitness or MyFitnessPal or Spark People or anything I have tried previously. The main divergences are that the program is psychology-centric (which works for me on multiple levels) and that it includes an individual couch who messages you and an online support group (hence why it costs money).

My experience so far has been positive, but don’t go holding your breath just yet; we’re scarcely out of the honeymoon phase. I have seen some results then seen them mildly undone by Christmas. The psychological approach to the app is pretty transparent to me, both because they are transparent about it and because I’ve been in eating disorder counseling periodically for years. However, that does not prevent it from working on me. I know the compliment every time I log a work out is a manipulation, but it makes me feel good nonetheless, so the manipulation works. Same with the coach and the group, though my group is pretty inactive and lame. It is an extra layer of accountability without the pressure of real interaction.

I have noticed improvement in my thought patterns and emotional reactions, if nothing else, which is surprising since all that counseling over the years has done shit against the same problems. The app does not tell me much I do not already know, but for some reason, things appear to be clicking now. I hope it is not some false sense of enlightenment meant to lull me into complacency to then fall into old patterns again, but a girl can dream.

I hope one of these things is the answer. I’m ready to have an answer, any answer. Yeah, it would be great to fit into all my pants and be my pre-pregnancies weight again, but more than that, I want my body to be healthy. My blood sugar finally came down; I want it to stay that way. More than anything, I want to not think about this bullshit all the time. I want it to not be 10 hours out of my week. I want it to not be tormenting me every meal and every workout. I want to just be.

So, here we go on these next things. Fingers crossed.

Oh, and by the way, my hamstring is still torn. bodyboss aggravates it greatly. I’m headed to a new orthopedic to see what the hell is still going on next month. Maybe that problem needs another next thing too.

Christina Bergling



I have started a new fitness program.

I know. I wait for your unmitigated shock to pass…

A friend and running mate decided to try bodyboss, so we, her running club, decided to go down with her.

bodyboss is a exercise program delivered via a booklet (physical or online) heavily pushed on Facebook. Most simply, the program is high intensity interval training (HIIT). It advertises as a quick 30 minute workout 3 days a week. What it neglects to mention is the 10 minute warmup and cooldown that bump it up to pretty much an hour.

The entire deal is 12 weeks long, and I am about 2 and a half into the process. So I have done enough to taste the workouts but not enough to truly gauge the whole system.

With this much of a taste, I can say that it fucking sucks.

I hate interval training. I also hate jumping and planks. That is literally what these workouts are. Almost all the are. 7 minutes seems like such an innocuous commitment, yet during the intervals, it turns into a damn eternity. I sweat and struggle and swear so much. There is no high; there is no rush. There is only pain.

Like barre, nearly all of the exercises also irritate my hamstring. After a year and a half, every twinge just stirs a rage of frustration and hopelessness. I have to modify many things, just to continue to acquiesce to the injury.

And so far, I feel no results. I have been working out daily and doing barre multiple times a week, so while I struggle with the workouts, it is not a huge difference to do them. I get sore sometimes but not often. If anything (despite also tightening my diet), I feel fatter.

But it has only been two weeks.

Stay tuned to see what I have to say after 12!


Christina Bergling


Accepting Limits

Happy anniversary to my hamstring injury! August 5th marked one year since the day I tore my hamstring doing the splits after a dance class at the gym. In that split second of blinding pain and squelched panic, I never would have imagined the long journey here. I remember thinking that a 6-week recovery would have been unbearably long.

How I have been humbled in this year.

I am not patient. Not in any way in life. In fact, impatience could be considered one of my defining attributes. Yet this injury, with its stubborn and unrelenting control, has tamed me. As much as I imagine I can be. I have learned about myself, my body, my mental strengths and weaknesses. I have been trapped in physical and emotional discomfort and forced to deal.

Not unlike learning to be bipolar all over again.

I think it was when I reached my PRP injection that I fully appreciated respecting my limits. I do not have the concept mastered. The muscle memory to my impulses tempts me to constantly push too hard, ignore the pain, revolt against the restrictions of healing. Yet I am learning to perform my cost-benefit analysis on a longer timeline.

Do I want my hamstring to heal back together? Do I want to run now or for all the years after this? Do I want the constant pain?

The PRP injection, placebo or not, reduced my pain greatly. The relent on my nerves brought back a measure of clarity and logical thought. It all seems easier now that I do not feel so desperate to escape my damaged skin. I can be persuaded to obey with the carrot of recovery dangling on progress.

With progress on the leg and a return to some measure of a fitness routine I can live with, I turn my mind now to continuing to heal the damage of my pseudo eating disorder. The symptoms surged when I gained weight during my “rest period” after my injection. I found myself riding a familiar binge (all the food) and purge (all the exercise and none of the food) cycle.

Yet instead of falling into this trap again, I am going to apply the lessons learned at the mercy of my hamstring and accept my limitations. I am going to stop punishing myself with food that only leads to weight that I punish myself more for. I am going to stop trying to hate my body because it is the wrong numbers. I am going to focus on my health, my strength, my happiness and hope that my flesh follows the suggestion.

Overall, I am going to draw the line here, between my head and my heart, and accept my limits.


Christina Bergling

Chasing Myself

I am chasing myself.

I cannot believe it took so long for me to see it, so ridiculously long to realize the pattern. I am caught in a vicious circle. I see that now. All along, I thought I was reacting to circumstance when really I have been manufacturing the scenarios and chasing myself. Over and over again.

What is the cycle? What is the self-made trap? What is the terrain of the depreciating circuit I keep running?

Step 1. I get fat. Maybe it’s because I just had a baby. Maybe it’s because I am nursing an injury. Or maybe it’s just because I have an emotionally abusive relationship with food.

Step 2. I react to getting fat with overreactive depression, heated frustration, or some combination of the two. I make a bunch of extreme resolutions and empty commitments while I mentally abuse myself.

Step 3. I begin with ravenous, obsessive commitment. I work myself out nearly to death. I eat exactly on plan, often bordering starvation.

Step 4. It works. The weight comes off; the work pays off.  I am euphoric with success as my wounded self-esteem begins to recover.

Step 5. I relax. I loosen the leash. I let myself side step the diet, take rest days. I fall under the delusion that I have made it and can calm down on my campaign.

Step 6. Backslide. Backlash. I rebel against my own rigid design. I tell myself I can’t tell myself what I can and cannot eat. Like a rebellious teenager, I make foolish and self-destructive decisions. Let the binging begin!

Step 7. I get fat. Again.

And repeat. Repeat. REPEAT.

What I was failing to really accept was that Step 6 is all me. My youngest child is nearly 3 years old now. It’s not babies anymore. Or even my gimpy thyroid. Aside from having to behave for hamstring rehab, it is not even the exercise piece. That is always on high. It is ME.

What I realized is that my motivation might not be my long-standing, pervasive self-destructive tendencies. It might not be my last lingering addiction. Instead, what dawned on me is that I might need the struggle. I might need to always be obsessively driven and pathologically motivated to lose those pounds, regain that time, get to that distance. I might be addicted to the carrot.

Why I can’t just improve from a healthy place instead of restarting? I have no idea, but I believe we mentioned my self-destructive tendencies above.

Yet something about the idea rings true in my head. When the epiphany hit me, something just clicked into place. I keep manufacturing these scenarios. I keep manipulating myself back to the beginning. I am the warden holding all the keys to this cyclical trap.

I don’t exactly know what to do with this new knowledge. I don’t know how to break free of my little cycle. Well, I mean I know how, but I don’t know how to keep myself following through. Otherwise, I am just in Step 2-3. I need a sustainable solution. I need to fix the fracture in my brain and behavior.

I am not used to breaking cycles. Cycles are my life. Extremes are my familiar. I have learned to embrace them, rather than fight them, but they never go away. I apparently suck at riding this one. Maybe identifying what I am doing wrong is the first step. I hope so. I need to find a middle ground between my rigid resolve or excessive backlash. I need to just live between those two, where there is no sin to rebel against.

My hamstring is on the (slow) mend, so I am back to my exercise routine. Half-assed though it may be. That is helping with sanity and rationality. I just need to reign in the eating roller coaster. Long term.

It would be nice to not be my own enemy for once.

Christina Bergling

On Recovery Running

Calm down.

You cannot sprint off into the pace and distances you left before the injury.

Calm down.

You cannot run like the past weeks, months, and pounds never happened.

Calm down.

It is OK to be winded and weak and dying. It is OK for the pain to still crawl up the back of your leg and nestle firmly in the root of your hamstring.

Calm down.

You are still recovering.

Calm down.

Do not make it worse.

Breathe. Just run. Gently. Just enjoying being able to run. A little.

You’ll get back, just like you have before. Running will still be there.

Calm down.

Baby steps. Baby little zombie turtle wogs.

Take what you can get. You will find the float again some day. You will sprint again some day.

Today, calm down.




I am trying to be good. I am trying SO HARD to be good. I am trying to run infrequently, short distances, and slowly. I am trying to modify barre classes to avoid the exercises that aggravate my hamstring. I am trying to not work out every day or twice a day.

I am trying to temper myself. So far, I think I am managing to tame my obsession, but I am struggling on the mental side of it.

I feel that itchy, uncomfortable anticipation experienced in the race chute all the time. Those terrible last seconds before the start gun. Those wretched little pregnant eternities. Yet I feel that all the time. Restrained, held back, contained. Like I’m coming out of my skin.

Getting back to some exercise has helped, but babying the leg still gives me this trapped feeling. The benefits I glean from exercise come from pushing myself to my brink, from making it hurt until the endorphins wash over my brain. I can’t do that yet, so I’m just left feeling perpetually unconsummated.

I’m trying to think of this as an investment in my body. I am trying to process it as purchasing health on the other side of this injury. Yet, with my mental balance in free fall, I am finding it challenging to sell these ideas to myself.

Patience. Breathe. Calm down.


Christina Bergling