One year later and I tempt cycling (and ischaemic) fate...

You may recall that despite having cycled some 300,000 kilometres in this tired old body of mine I still managed to have an ischaemic event (yes, a heart attack) on this very day, New Year's, 2014. As I was doing over 200km a week up to that point it came as something of a surprise to feel a persistent, dull ache that said "stop now" as I crested a familiar hill. Of course being a hardened racing cyclist I pressed on anyway, gasping and yawning, determined to "ride through it".

Until, of course, I just had to stop. I knew, deep down, what it was. Still, I didn't accept it. It seemed so unlikely. So I struck a compromise and turned around, slowly, and crawled - grovelled - home. About 15 minutes after stumbling in the door, I accepted my fate and embarked on a 6 day medical adventure involving 2 hospitals, a late night ambulance ride, 2 cardiologists and 3 stents. A month later I blogged merrily on the topic of not ignoring the bleeding obvious.

So here I am, a year later, still acting the goat. I have just tempted fate and re-lived that epic New Year's Day ride, retracing the exact route and soaking up the pain. Fortunately without the hospitalisation, touch wood. I'd like to say that I've spent the past year steadily recuperating, building up the miles and strengthening my weakened heart. But I haven't. Mind you I started well, with good intentions. I kept to a gentle, progressive plan that got me onto the indoor trainer and then out the door, building gradually. And then the confidence grew. This reconditioned heart actually seemed just as good, if not better than the old one! I set some tougher goals and pressed on. Until I started to tire.

It seemed like I was repeating the very mistake that had got me into this predicament: if in doubt, double the training. Despite the still-fresh memory, I was doing it all again. The training was going up but my form was going down. And then I caught a cold.

Now colds may slow you down but they don't have to stop you, so I backed off and came back. But the cold "freshened up". So I repeated the formula - back off, come back. And the virus came back too. It reminded me of a six-month bout of a "mystery virus" that hit me back in the late 1980s, effectively ending my club-level A-grade racing career. I didn't get a blood test then, sadly, so I'll never know for sure, but a GP reckoned it was mononucleosis. The prescription was "rest". So taking a leaf out of that same book I have had a long, long rest since the end of May.

Which is not to say I haven't ridden. Once a week I've given the bike a spin and tested my form. And mostly my form has been lousy. Given that riding every day is my long-term habit, riding just once a week - and for only 20 minutes or so - hasn't been an easy pill to swallow. And it hasn't been the ideal way to make a post-ischaemic comeback, either.

Which is why re-living my "2014 first-ever heart attack ride" today hasn't been without its measure of risk - or even fear. Sure, I took it easy. Sure, I've done the distance a few times in the lead up. Sure, it's not a century ride. But I'm not nearly as fit as I was then, and the hills are unrelenting. I live on a hill. Getting home is hard enough without worrying about blocked arteries and damaged heart muscle as well.

Anyway, I made it. It could have gone horribly wrong but it didn't. The monkey is off my back (I have avoided riding that route for a full 12 months). Hopefully I will listen to my own advice from here on and build the miles up again - very, very gradually. Fingers crossed.

Update on recovery from ischaemia

Well as you may already know I had a heart attack on January 1 this year. To be perfectly honest, upon reflection, it was fairly minor as far as ischaemic events go - but ignoring it wasn't an option. Well 60-odd years ago ignoring it was probably the only option. I remember one of my grandfathers (who 'survived' in some senses service in 2 world wars) took 'angina tablets' when the pain came on. He probably had a blocked artery or 2 but there was little you could realistically - or affordably - do about it back then. Whereas in my case they simply inserted a few stents and inflated them, unblocking the blocked artery. It took 45 minutes (if you discount failed attempt number 1, an ambulance trip and brief stays in 2 hospitals). Fixed!

Well, mostly fixed. I'm not exactly the same as I was, psychologically or physically. I am unblocked,  with a renewed blood supply to the organ in question, but said heart now has muscle tissue damage, some of it irreparable, if to a minor degree. Nevertheless my heart beats strongly and regularly, and after almost 3 months of training on the bike (half on the trainer and half on the road) I am back to where I was in December last year - doing at least 200km a week on the road. Mostly flat and only 60% intensity, though. And just a few intervals at 80% or so. And no long, hard climbs for now.

Yet there remains a small, disquieting fear that the heart will be weakened, unable to cope with "normal" training (let alone racing) loads. And statistically that is borne out by those who have repeat heart attacks after their first. So I'm tentative, still. A new clot could form over the stents themselves, for example. But with each passing mile I get more confident that I'm OK. Indeed I feel "better" in many ways. Whereas I was grinding it out for the previous few months (before the attack) I am now refreshed and eager. My body is responding positively if slowly to the training load, whereas it was only slowing down and going backwards before.

Another realisation is that heart attacks can be - indeed often are - "silent". You may not notice you are having one. The one I had, whilst distinctive, was dull and incapacitating for a couple of hours, like dragging a heavy weight around, rather than endlessly sharp and totally, unavoidably crippling, if you can see the distinction. Indeed I began to feel "better" after about 3 hours of this crushing bore of a monumental chest and arm pain. I could see a way out. But by then I was in hospital, which is the best place to be if you want to get "fixed".

Still, I could see how ignoring it and just avoiding strenuous exercise forevermore may - in some cases - work out. But for me I wanted to ride again, and I didn't want to risk the statistically significant attack number 2, the one that would sneak up on me and do me in for good. And it made me ask, 'ok, this is different, it's really bad - but have I had one of these before, just milder?'. And my answer would be "yes". This was just a new level of pain and injury.

Hindsight is a wonderful thing but the last 3 months of training pre-attack, sometimes in terrible heat, often had me thinking 'what's wrong?'. And whilst I could do it, I could finish the rides - and the occasional races - I didn't push to my old limits. I backed off. I let the bunch go on the last lap. I gave in to the "pain" of the effort. Whilst it wasn't that distinctive full-on crushing pain, I now recognise that what I thought was "not enough training" or "just old age" was probably a very mild form of heart attack. I have no firm evidence, no blood tests or angiograms to back that up, but it's what I suspect. Whilst my heart attack represents a certain event, the rupturing of some plaque and for a time the complete blockage of a coronary artery, in truth that artery was significantly narrowed for years.

My heart was under attack from reduced blood flow for a long time. I just didn't read the signs.   
      

Heart problems bring Kaisen's career to a premature end : SBS Cycling Central

Timely indeed, given my own situation. This is Lotto Belisol's Olivier Kaisen on his heart problem:

"At training camp in December I was able to train in perfect circumstances without any problem. Now I think my moderate season in 2013 might be caused by it." Kaisen first noticed the problem during the Tour Down Under in January."After the second stage at the Tour Down Under I didn't feel well. It had been a very tiring and extremely hot day and I had ridden much at the head of the bunch for André Greipel. I did start the next stage, but immediately after the start of the third stage I felt something was wrong. I was scared and together with sports director Herman Frison I decided to quit. He said I couldn't take any risk.



The thing is, and I know this from hindsight more than any analytical brilliance, as you tend to grow into your body over time, it so rarely surprises you. You simply get used to its quirks. After all, you don't get to experience what other hearts are like, although you may still realise that there's a huge diversity in what are "normal" rhythms and rates of beating. Some are fast, some are slow and some are all over the shop. Yet they "do the job". Mostly. So you get "used" to your own quirks and they fade into the background... until one day...


And if you race - or even train hard - you are putting a hefty load on that single point of failure. That load can be extreme in a race, especially if you are dehydrated or have some other variation from the "norm" that one day may create that "perfect storm" that is ischaemia. Now hindsight is a wonderful thing and I don't want to put anyone off cycling to their full potential - far from it - but we can't see into our bodies as we go about our daily lives (well, not without some help, anyway). We have to go by feel. And that's why we need to look after ourselves, eat, rest and train right, and keep a look-out for anything that feels 'unusual'. It could be a sign that shouldn't be ignored.   

Did you want some pictures to go with that ischaemia, sir?

Did you read this: http://addicted2wheels.blogspot.com.au/2014/02/double-training-used-to-work-dont-let.html? Want to know more? Sure, how about some pics? No, not of the stents being inserted (although... now that I think about it, maybe tomorrow?) just some Strava screenshots of me having a "medical event" during a training ride....

It's fairly self-explanatory... 2013 wasn't a bad year for cycling but not great either. I peaked a couple of times with semi-decent months but got sick a few times that wrecked my race season (which turned out to be a good thing, maybe).  I was playing catch-up all year. And then 2013 ended and 2014 went off with a bang (or a whimper perhaps)...

 Just another year? And then...

 One ride too many!

 I didn't feel well at all...

 And the figures prove it!

 'Creeping' is the word

 As I said, I ride a bit

 And I'm still riding!

Hopefully I'll keep it up...


My original post on how it all happened. Some stats and other nonsense. And more.   

Now he attacks: Cadel Evans just can't win

In hindsight, it may have been the wrong time to attack... but then again, who was going to bridge the gap if he didn't? As Cadel says, "Funny, usually people tell me I don't attack...".

Post-race it's always easy to pull things apart and make declarations about what would have happened if.... but until we can set up some parallel universe and trial all of the options, we'll never really know. At 5th, Evans was ahead of some big names. (Worth noting too that Simon Gerrans had another good race, finishing 8th.)

And come July we'll get to see Cadel defend his now traditional 2nd place in Le Tour. He may even attack!

Join your own Open Source-style pro cycling team #cycling

Not such a new idea for pro cycling fans as is made out on the Crowdriders site, but a good idea nonetheless that (admittedly) takes the fan-as-owner idea a step further than before, where the crowd will (in theory) manage the pro cycling team as well as provide sponsorship (or capital, if you prefer). That should be interesting - 40,000 people voting on what to do with the cash raised! Basically if enough people get together and raise enough money they'll sign up riders and start a UCI-registered team. It's certainly not impossible, but others have tried to crowd-source and failed. Especially tricky will be getting the management side right - balancing the "democracy" that is promised for the crowd against the professional management and governance that is required. What if the majority want to do something crazy, or risky, or just sub-optimal? What if the guy starting this idea off is not the best guy to run the show yet remains at the epicentre just because he, umm, started it? Who will tell him that he's just one voice and what will he do - change the rules? I guess that will be explored in the fullness of time.

For a previous take on a subscription-based sponsorship of a cycling team, check out David McKenzie and iTeamNova

London invests in cycling

Go London. Frankly, whilst I love cars I'm realistic enough to realise that they take up too much space and are out of step and scale with both the people they are meant to serve and the environment we live in. There should be a better balance struck between the use of private cars and the alternatives, like public transport, walking and cycling. For our health and well being if not for the planet's survival we have to act soon to reclaim the streets for people, not over-subsidised, over-weight machines. (And yes, we subsidise car production, distribution and use to an enormous extent, far more so than for any other manufactured good. If you think that's not so, try reducing the subsidies and protections for car manufacturing, petrol refining or road building and see who squeals - you'll find a lot of people are addicted to the free cash we dole out to the car industry in the name of "freedom to move". So 'Go London!'
The Mayor of London, Ken Livingstone, said: “The aim of this programme is nothing short of a cycling and walking transformation in London. We will spend something like £500 million over the next decade on cycling - the biggest investment in cycling in London’s history, which will mean that thousands more Londoners can cycle in confidence, on routes that take them quickly and safely to where they want to go. “The cycle hire scheme in Paris has proved a huge success, and I have now instructed Transport for London to work with the London boroughs and interested parties to develop and implement a bike hire scheme in central London, accessible to all Londoners. By ensuring that Londoners have easy access to bikes in the centre of the capital, as well as making our city a safer and more enjoyable place to cycle, we will build upon London’s leading position as the only major world city to have achieved a switch from private car use to public transport, cycling and walking.

The dopes who dope and why they do it

I do understand why they do it, I really do. It's simply human nature to cheat. We cheat ourselves, our families, our friends, usually to gain some advantage or to simply prove ourselves. Sometimes with real consequences, sometimes not. If you know as an athlete that you can achieve great things, know it in your heart, yet fail to deliver on the day(s) in question - be it because of poor judgement, tactics, illness or injury - you are left with a lot of 'what-ifs'. If you are open to temptation, if the EPO or other enhancing substance is available, you have a choice. And choice is what it is all about, and where we become much more black and white, good or evil about these things. Iban Mayo appears to have chosen EPO to gain, or perhaps regain, what he displayed in the Tour. He looked reborn as a rider, best he'd been in years. And now we may know why.

Vinokourov faced the same pressure, but worse; that of a favourite in possibly his last shot at the title. What if he couldn't deliver? What if he injured? What happens then?

And Rasmussen? Well he didn't test positive, he just don't look or sound honest. Or perhaps we don't know the full story? We do know he chose to train away from the spotlight and to appear to prevaricate over his location. This is not illegal, and is our perception only. He wasn't proven to have cheated, and he continues to deny it.

vote4cycling in NSW Elections 2007

Aussie track titles - Thuaux report

Phil Thuaux is doing well after getting in those miles at the Tour of Siam...

Men 4000m Individual Pursuit - Final

Gold & Silver Medals
1 Phillip Thuaux 4.24.955
2 Zakkari Dempster 4.30.070

Bronze Medal
3 Cameron Meyer 4.29.691
4 Michael Ford 4.30.686

Phil set a PB of 4.23.555 (54.64 km/h) in qualifying.

Jayco Bay series 2007

Renshaw won the big race of the day but (being parochial and all) Central Coast CC rider Dale Scarfe has had a great win and jointly leads the support races at the Bay series. There's a nice shot on the Cyclingnews.com site of Dale winning, too: http://www.cyclingnews.com/photos/2007/jan07/bayseries07/index.php?id=bayseries072/DSC_0379

Looks like he won by the throw!

That crash in Surfers

When Astana rider Davis went down 5 metres shy of getting on the back of the breakaway, 2 things happened. 1, an opportunity was lost and hard work was wasted. And 2, they were relegated to the chase bunch (ie the peleton). Now from Davis and company's viewpoint it was unfair. 5m is hardly a gap at all and for riders of this caliber they would have made it across, for sure. So morally they expected to join the break after the lap out (which they duly did, but got pulled out by race officals). Now I can see their point - a crash is a race incident deserving of lap-out consideration; but equally they should have taken due care to negotiate the corner without incident, just like the breakaway did. After all, if that breakaway was able to make the corner safely at similar pace then maybe they should also expect not to be penalised for their skill in doing so.

Now it may have been a mechanical incident that brought Davis down, but it didn't look mechanical. And why didn't the chasers simply pass Davis and continue the chase? I can understand Davis taking a lap out and (in theory) rejoining the chase bunch, but what about Brown and co? I'm not sure what held them up (did they all fall, or have 'mechanicals'?) but by taking a lap out and they rejoining the breakaway that they had nearly caught seems a bit rich. 5m is still 5m guys. Now if it had been a club race we'd just get up and chase again. Or did I miss something?

Catchup on some news

Where do I start? CN has reported that Tyler Hamilton has signed (maybe at Tinkoff?) and expects to race in 2007. CN also reports that Riis has laid down the law on doing at CSC. And it's been widely reported that Aussie rider and stair-climber Paul Crake has broken some vertebrae in NZ. And the FRF boys are racing in Hainan with Josh Marden taking a stage. Did I mention Basso went to Discovery?