Tag Archives: altitude sickness

Approaching Surgery

Hip surgery is imminent. I went to my preop appointment yesterday in preparation for my hip labrum surgery the first week of December. I signed all the paperwork and went home with the brace I will live in for 2-3 weeks.

Now, it feels real. Part of me wants to just do it and get it over with, get into the pain so I can put it behind me and actually heal. The other part of me does not want to do it at all and is rationalizing how I can live with the pain as it is now.

But, where have I been since altitude sickness on my last 14er? What have I been doing on my way from summer to surgery?

The altitude sickness may have concluded my pursuit of 14er summits for the year; however, it did not end my hiking. Our little group decided to hike half of Pikes Peak in the beginning of October (as opposed to the full summit last year).

We had a magical, euphoric, perfect fall hike. A chilly fog clutched the trail on our ascent to Barr Camp. Then the sun ignited the autumn colors on our descent back down. It was the perfect weather, the perfect distance, the perfect company–simply the perfect hike.

This hike highlighted a very long and successful fitness run for me. I was running regularly, returning to my normal mile pace (slow though it always may be), building up my distances over 6 miles. I was taking multiple barre classes a month and seeing the results. I had returned fully to belly dance and even had begun performing again.

My fitness cadence was exactly as I wanted it. My routine was solid and balanced, and so my mind was solid and balanced in reaction. Honestly, I felt like myself. And I felt pretty fucking happy.

When I hit that blissful point, I knew it was transitory, as it always is. I knew the pendulum was reaching its full extension to one side and would instantly be arching in reverse. It always does. Every time I feel like I have achieved my goal or am where I want, the situation immediately changes. The rug is pulled out, and I fall directly on my ass to start over. That is my cycle; that is the pattern of my life.

In this case, I thought it was because surgery was coming and I would inevitably have to start over after recovery. I was wrong. A debilitating, month-long sinus infection took me entirely by surprise and derailed me just as effectively.

Of course, I tried to fast and run through it and failed exquisitely. The illness finally bent me to its mercy. After three different antibiotics, two different steroids, and so many weeks, I am finally, physically back to more normal. However, all that progress and euphoria and balance evaporated. To reclaim my motivation in the waning window before I go under the knife, I have had to just accept this limitation. I have had to just do what I can.

I did not do that well or gracefully, but I think I have largely made my peace and moved past my frustration. Though being knocked so completely off balance paired with being so annoyingly sick sent my bipolar cycles into overdrive. It had been a while, and I was woefully out of practice, so that was fun for all involved. But again, I think I have regained myself, or at least control of myself.

So, next up, surgery.

At this point, might as well. Maybe it’s easier to go under and jump into the limits of recovery when I’m already below my expectations. Maybe the fall won’t be as far. Or perhaps it’s worse to have squandered these last weeks before I don’t have a choice. Or maybe it sucks either way. I need to just embrace the suck. I need to just do this and get it over with.

I’m not necessarily nervous about the surgery itself. I might have been earlier, but my¬†salpingectomy (Fallopian tube removal) surgery went so smoothly in January that it actually calmed me. I, of course, cried hysterically after anesthesia. I always do. However, that procedure was also laparoscopic, and I healed near effortlessly. I went on a real run in less than 48 hours. I appreciate that was a far more minor procedure and recovery time, but it still gives me somewhat of a preview to pacify my rampant brain.

I dread only the recovery. Not even the pain. I can deal with the pain. I have been for two and a half years for this injury; at least surgery recovery pain might lessen and lead to actual improvement. It is the physical limitation of the surgery. All the ways I went off the rails by having a sinus infection amplified, the removal of my balance and my therapy.

To combat this anxiety, I am proactively choosing to focus on other things. I have scheduled lazy time with several friends. I plan to fast hard on the couch, and I plan to pour all my time into my writing (which has unexpectedly been neglected for the fast two months).

Until then though… I’m capitalizing on not dying and not being cut open. All the running and all the barre classes. My daughter and I choreographed a horror heavy metal belly dance number I want to get recorded. I am back to cramming as many activities in as possible before spending my holidays relegated to the couch.

Wish me luck! (And expect more frequent posting.)

 

Christina Bergling

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Mt Democrat, Mt Cameron, and Altitude Sickness

After the poor planning and research of our Mt Harvard hike and my poor life choices before our Quandary hike, when we decided to tackle to Mt Democrat-Mt Cameron-Mt Lincoln-Mt Bross loop in one day, I made a concerted effort to learn from past mistakes and prepare properly. In the end, it didn’t make a damn bit of difference.

We started our trek early under perfect weather conditions. I had gone to bed early and slept well. I had put down a bunch of water on our drive out. I had even eaten breakfast (which is something I no longer do). As we took the trail toward Mt Democrat, I felt good.

My ascent was slow and steady, as always. I know I will never be fast uphill. Not running or hiking. Just never. But we made it to the saddle between Democrat and Cameron easily enough, veering off to ascend Democrat first.

After the trail branched, the incline increased dramatically. As it always does when it is too high for any life to grow. The hike started at 12,000 feet, well above treeline, so the entire route was the hard part of hiking 14ers. Yet it was all so much shorter than the previous hikes that started lower that it seemed like it would be easier.

Seemed.

We made our ascent up Democrat at a reasonable pace. One of us was struggling with motivation. I always struggle with incline. However, overall, it went surprisingly smooth and well. Considering how painful the previous ascents had been, Democrat came fast and easy.

We took a quick rest to have a snack and enjoy the view then turned to the descent. Like always, I bounded down ahead like a mountain goat and fully enjoyed the way back. By the time I reached the saddle to take the turn for Mt Cameron, I was feeling great. The same euphoria at the base of every hike coupled with the motivation to move to the next mountain.

Yet this is where my hike began to unravel.

As we regrouped and turned to take Mt Cameron, my struggle with the incline steadily increased. It felt different than muscle fatigue, but I dismissed it. Then a nagging headache started tapping on my forehead. I adjusted my hat, adjusted my pack, drank more water, had a snack. Yet the headache persisted and burrowed deeper until nausea bloomed in my belly.

At this point, things did not feel normal or right. Something inside me kept whispering, something is wrong…something is not OK. But I dismissed it. The headache and nausea increased, and hiking became suddenly daunting. More daunting than usual, more daunting than at my most exhausted. It did not feel like normal fatigue. Instead, it felt like I had absolutely nothing in me. No go, no gas, no juice, NOTHING.

I dismissed it and pressed on anyway. At shameful and unimaginably slow pace, we made Cameron.

Once we summitted and turned to the gradual saddle between Cameron and Lincoln (the slight distance that disqualifies Mt Cameron as an official 14er). I did not feel great, and the headache and nausea did not abate, but I could at least move. I figured I could make it the 300 feet to summit Lincoln since we were already there.

I was wrong.

A few steps up the final ascent to Lincoln, I simply could not. My body had nothing. It felt like I could not breathe. My chest hurt as if something was compressing my lungs. I sat down on the trail, and that was all I had. I shooed the rest of my party on to summit and stayed exactly where I was.

In all honesty, I don’t remember much vividly from when the headache started. I know I stumbled my way up Cameron. I know I sat down on the trail. I know I was struggling to breathe and just wanted to lay down on the rocks and sleep so I stood as I waited for them. By the time they returned (which was not long), I was in rough shape, barely functioning.

We turned to Mt Bross to make an immediate descent. If I could not make 300 feet of Lincoln, I could not make anything but back to the car. Unfortunately, we made a wrong turn. Instead of following the trail that cut across the top of Bross’s stained and scarred face, we wandered down a dead end. With the risk of mine shafts anywhere, we had to turn back around. Trying to ascend again destroyed me. When we returned to the top of the trail, I had to collapse briefly.

Finally, we made it across Bross’s mangled face and began to actually drop in altitude. I continued to struggle. Whenever my heart rate climbed, my headache pounded harder. Whenever the headache increased, the nausea pressed on the back of my teeth. I still could not breathe, but moving downhill, I did not need to fight for it as hard.

However, Bross was a terrible descent. Huge boulders and slippery scree the entire length of the mountain. Everyone suffered. Everyone was miserable.

I refused to vomit as we descended the rocks. I knew puking would make me shaky, and I did not know if I could navigate the terrain with unsteady legs. However, once we finally reached the grass, I sat down and puked my guts out. I wish I could say it made me feel better.

The valley where we started was still gorgeous. My favorite flower (the columbine) was everywhere. I wish I could have actually seen and enjoyed it. I suffered severe tunnel vision. All I wanted to do was lay down in the car.

When we did finally reach the parking lot, I took off my boots and lay down in the passenger seat. The rest of the group had their celebratory beers and make PB&J sandwiches, but I just wanted to die. The ride down the trail was not much better. I had to vomit again when we reached the highway. Then I passed out for the rest of the trip.

Altitude sickness.

It took me about three full days to recover. I felt better after my car nap but still miserable. It was difficult to walk. I got winded just moving around the house. I have lived in Colorado, skied and hiked frequently my entire life. This is the first time I ever remember experiencing altitude sickness.

Maybe it was because I was in Dallas, near sea level a few days earlier. Maybe it was because I was still suffering a lingering cold. Maybe it was because the hike started above tree line. Maybe I wasn’t hydrated enough. Honestly, I have no idea. Altitude sickness can really strike anyone at any time under any circumstances. I can’t say it makes sense in this instance, unless it happened just to punish me for thinking I was prepared.

I feel like I should be super frustrated and disappointed to have made it so close and been taken out. I guess I am disappointed that I did not get to enjoy the hike, that I got so sick. However, I was so utterly miserable that I don’t really care that I couldn’t make the last summit (or two). It was unpleasant enough to overshadow any ambition I had.

Part of me wants to redo Cameron, Lincoln, and Bross. Part of me doesn’t care. I’m not entirely sure how I feel about it. I’m just relieved that the sickness has passed and I can breathe again.

Christina Bergling

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