4 Years.

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My daughter, Natalie, turned 4 yesterday.

4.

Like millions of other parents, I have thought numerous times over the past few days “Where did the time go?” Yes, it’s a cliche, but it’s true–the years have just whizzed by.

For Natalie, her birthday is about presents and cake and fun–as it should be. But for me, her birthday is not only a joyful celebration of the day she came into my life and the amazing person she is becoming, but also marks the beginning of a 10 day period each year where I relive the darkest time of my life just after her birth when I didn’t know whether or not she was going to live.

This achy, anxious feeling will be familiar to people who have lost loved ones. It’s like a muscle memory; even when you haven’t looked at a calendar, you feel the anniversary coming and the sadness creeping up on you. No amount of Reiki has ever been able to remove this from my body. It gets a little better every year, but it’s always there. Unlike the past 4 years, those 10 days felt like an eternity.

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Your daughter is jaundiced. Your daughter’s blood won’t clot. We’re sending your daughter to Brigham & Women’s because she might have a blood clotting disorder* and is very ill.

I’ve held my baby once. My husband follows the ambulance with Natalie in it into Boston. I’m checking myself out of the hospital two days after having a c-section to go in as well. My mother has to drive because I haven’t been cleared after surgery to drive yet.

I’m a germaphobe. Now I’m in a hospital 18 hours out of the day with my child, going home only to sleep for a couple hours and shower. Test after test after test on my daughter. My mother and my husband are the only people I talk to other than nurses and doctors. The three of us are together non-stop day in, day out.

I go home every night without my baby and go into her nursery and wonder if she will ever see it.

She’s in liver failure.

Hepatologists from Boston Children’s come across the bridge to Brigham & Women’s. She might have neonatal hemachromatosis.* Blood transfusions. Her liver can regenerate itself. We don’t want her to have a brain bleed. IVIG treatments.

Nothing works. She needs to be put on the transplant list.

My beautiful girl has wires all over her and is being poked and prodded constantly. The noises in the NICU never stop. Alarms always going off. They don’t have diapers that fit her because she is 9 lbs 3.5 oz and they have never had such a big baby in the NICU before.

I get to hold her once in Brigham & Women’s. Then it’s back to the isolette.

It’s getting worse.  Her liver numbers are not going in the right direction.

She has been alive 4 days. She’s being transferred to Boston Children’s. We walk across the bridge with her.

Somewhere in this timeline my milk comes in. I’m not allowed to breastfeed her. It’s  excrutiating, even moreso because I don’t have my baby with me. Instead, I go home at night and put cabbage leaves on my breasts to help with the pain.

We meet with the transplant team. Transplant coordinator. Surgeon. Financial counselor. Nurses. Pharmacist. Social worker. I cry because she won’t be able to swim in lakes, or eat sushi or unpasteurized cheese, not fully grasping the magnitude of what is going on or believing it’s really happening.

She’s put on the transplant list.

I’ve never been religious. Now I make deals with God and the universe to let her live. I make deals with myself. We go to the chapel in the hospital. We go to church. There are people as far away as Vietnam praying for her.

My husband gets tested to be a living donor. He’s a match. He has to confirm that he hasn’t been coerced into giving part of his liver to his daughter as part of his evaluation.

A central line is put in my baby’s tiny neck so they can take blood.

She’s 7 days old. They schedule her surgery for day 12. My husband will give her part of his liver. If she doesn’t have a brain bleed before then.

Day 8. I get to change her diaper for the first time. I wonder if I will ever get to do it again. I long to change diapers.

Day 9. We get to hold her most of the day. It’s Father’s Day but I won’t relinquish her the majority of the time to my husband. I read her Charlotte’s Web. My friend visits and gives us a Mary figurine. We go home and pray.

Day 10. My mother sits with Natalie while we meet with the pharmacist to go over the drug regime she will have to be on after her surgery. We come out and my mother tells me the surgeon was looking for us. The nurses are bustling.

There is a whole liver from a deceased donor. It’s coming tonight. She’s going into surgery.

We say goodbye to her. The anesthesiologist tells me: “She is my daughter tonight.”

We have dinner. We wait. The surgery starts at 11. My husband sleeps a few hours in one of the family rooms at Children’s. My mother and I are awake until 4 am on couches in the waiting room when the call comes.

It was a success.

It was a success.

It

Was

A

Success.

We see her a few hours after the surgery is complete.

She is pink, not olive. I didn’t realize until now that she had fair skin. She is covered in wires and tubes and bandages. Her incision is still open because her body is too tiny for the liver still. They pump her with fluids to try to stretch out her skin. It takes two more surgeries before they can close it all the way.

And then…

She heals. She is healthy. She doesn’t reject her liver. She has very few complications. She meets or exceeds all her first year milestones. She walks, she talks (a lot). She argues. She plays with the cats. She goes to preschool. She takes dance classes. She is a rock star. She is the love of my life.

She is 4.

 

One of the deals I made with myself, God/the universe/whoever was listening to me was to give back to Boston Children’s Hospital in some way for the rest of my life if Natalie lived. I didn’t know at the time that that would involve running marathons and raising money for BCH with the Miles for Miracles Team. Please consider making a donation to support my fundraising as I prepare to run the NYC Marathon in November by clicking here: Donate to Boston Children’s Hospital in honor of Natalie!

*She did not, ultimately, have a blood clotting disorder or neonatal hemachromatosis. After numerous tests, the best answer we have gotten is that it was a genetic fluke.

 

 

 

 

 

 

 

 

I Haven’t Got Time for the Pain…

This week one of the quotes from my running journal caught my eye:

“There is no time to think about how much I hurt; there is only time to run.”

Timing-wise, it’s well-placed in my journal, because over the past couple of weeks my teammates and I have really started to feel the aches and pains that start to come with the increase in mileage in our training. Some have actual injuries that they are nursing (minor, thankfully, and they should be able to come back after a couple weeks of rest), but for most of us, the repetitive stress on our muscles and joints is just starting to, well–HURT–myself included. Oh, I’m not 80 years old? Well tell that to my hips, because they disagree.

In my last post I had talked about how I could really feel how my training properly this year and including regular stretching/foam rolling and cross-training with my running had been resulting in my running improving. And it still is. I had a killer tempo run a couple weeks ago at 8:30/mile which is INSANE for me (and doubtful that it will be repeated on race day, but it was nice to log such a fast 5K on my Garmin). But with last week’s 28 total miles for me, I can feel the strain the running is starting to put on my body. Some of this is to be expected–it is marathon training, after all. However, I know from my experience last year that a couple of the pains (shin splints, hips being too tight) are more serious injuries waiting to happen and are freaking me out a little, particularly since this week last year was the week I did the damage that I ignored which subsequently turned into an injury sidelining me for a month before the marathon.

Our 14-miler on Saturday was the first group run since we have started training this year that we were really slow (or, as my pal Rebecca put it, “extra caboose-y”). Our actual pace wasn’t too bad, but we were out there a longer time overall because we stopped a lot. Part of it was that I needed a bathroom break and my friends waited for me despite a very long line at the Newton Fire Station (thanks, ladies), part of it was taking time to chat with our teammates Mia and Regan from last year at the water stop they were running (you rock) and part of it was that we ran a portion of Heartbreak Hill and stopped for pictures along the way (it didn’t happen if there aren’t pictures).

 

But OOOOOF. After the run, I was dead. Back pain, hip pain, leg pain, headache…no bueno. When I got home, I took an epsom salt bath to try to fend off some of the pain I knew was coming, but it didn’t help very much. I iced my left hip that night which did the trick for that area. I had a massage on Sunday thanks to a gift card I gave to my husband in 2013 that he finally decided he was never going to use, and that provided some relief, even if I did feel like I was going to cry when the masseuse started working on my calves and quads. I was hoping that come Monday, I would feel rested and ready to get back at it. Unfortunately, that wasn’t the case. I went to my 5 am class at the gym and I felt actual pain in my shins, not just muscle aches. So…what to do?

There are only 10 weeks left until the marathon and NO, I really DON’T have time to think about the pain. But I remember “toughing it out” last year when I started to feel this way and ending up in an MRI machine worried I had a stress fracture (I didn’t), and I don’t want that to happen again. It’s difficult once you get into the groove of your runs and cross-training to take yourself out of it, even if you know it’s ultimately in your best interest, but I had to put aside the guilt I felt for not running and listen to my body. So instead of my 3 “short” runs this week (5 miles, 4 miles hills, 4 miles tempo), I jogged in the pool, did extra foam-rolling and stretching, and took ibuprofen and turmeric to reduce inflammation. It’s Thursday and I THINK I feel better but I won’t know for sure if this all helped until our 16-mile run Saturday.

Come race day, I will have to ignore all the pain that goes along with running 26.2 miles and just RUN, but until then I will keep trying to do what I need to to make it to the starting line on April 15th for Boston, and again on April 28th for the London Marathon. Wish me luck.

 

I’m running the Boston Marathon in 2019 and raising money for Boston Children’s Hospital. If you’d like to support my fundraising efforts, please donate in any amount here: DONATE

 

Slow and Steady and All That…

Confession: I am not a patient person.

Some of you reading this just laughed and said “DUH.” This is really not a secret about me. I like things done immediately, I like instant results, and I don’t like waiting. It’s not that I’m not willing to work hard for something, but I get frustrated easily if I don’t see changes immediately. Truthfully, this trait has served me fairly well in most areas of my life. I am an action person. I decide to do something and I do it, and get it over with sooner than later even if I don’t like it. There are a few things I procrastinate about…like laundry, or cold calling for work. But overall, I would say being impatient works for me.

Except when it comes to training for a marathon and trying to lose weight. Then it works NOT AT ALL.

These things require CONSISTENCY over an extended period of time to see results. This directly contradicts my impatience and has resulted in a) me remaining at the back of the pack while training for the marathon in 2018 and b) gaining 40+ pounds over the past 9 years and never being able to get it off permanently again.

Yes, I trained more for Boston in 2018 than I had ever trained for a run before. But was it consistent? Did I give it 100%? If you had asked me that last year I probably would have said yes. But looking back, and comparing it to this year, the answer to those questions would be a hard no.

We get a plan from the coaches at the beginning of the season. Basically the training consists of 4 runs each week–3 during the week on our own and 1 longer group run on Saturday, with cross-training and rest days. The mileage gradually increases over the weeks, and includes hill runs and tempo runs (runs where you are running at the speed you plan to on race day). For example, our training plan this week is:

Monday: 4 easy miles
Tuesday: 4 miles with hills
Wednesday: Rest
Thursday: 2 mile tempo with 1-2 mile warmup and cooldown
Friday: Rest or cross-train 45 minutes
Saturday: 8 miles long
Sunday: Rest or cross-train 45 minutes

We are also supposed to work in foam rolling/stretching.

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Scenes from this week’s hill run…good times

Last year, I figured as long as I got the mileage in, I was doing what I was supposed to. So if that meant skipping the runs on Monday and Tuesday because I was too busy and doing 8 miles on a Wednesday to make up for missing a 4 mile run on Monday and Tuesday, that’s what I did. It wasn’t always like that, but it definitely happened regularly. I also didn’t do hills every week, and I literally have no recollection of EVER doing a tempo run–maybe it happened, but I don’t remember it if it did. Most importantly, I NEVER cross trained. Not once. And I didn’t foam roll or go to yoga to stretch out all those sore muscles.

And guess what? I felt like I was dying on almost every long run. My feet hurt the entire run. My back hurt all the time. I would come home from long runs and barely be able to walk for 2 days afterward. Even though I was working harder than I ever had before, I wasn’t seeing changes right away and it was super frustrating. What I didn’t realize at the time was that it was the CONSISTENCY of doing these runs on the days the coaches instructed us to, with the mileage they instructed us to, and the cross-training on the days they told us to, etc. that eventually would add up to a strong race day.

Of course, I learned the hard way that not following the plan was a bad idea. I think it was mid-February and I had had a niggling pain above my knee for about a week or so. I had been to an orthopedic doctor earlier in the week to make sure I didn’t have a stress fracture or anything like that and had been cleared to run. I can remember being toward the end of our 17 mile group run and literally having to will my leg to lift up to run when we stopped at a stoplight because I was in such bad shape. At the beginning of the following week during a run on my own, I felt a sharp pain in my thigh above my knee. I kept running despite the pain (another thing the coaches had told us not to do) until it was so bad it was actually making me cry. I was afraid I had a stress fracture after all. Come to find out when I went back to the ortho and saw a different doctor, the X-ray I had had at my previous visit would not have revealed a stress-fracture, so I needed an MRI. I could barely walk. It was bad. All that training, all that fundraising for Boston Children’s, and now I wasn’t going to be able to run?

Long story short…I had the MRI and thankfully, it wasn’t a stress fracture. It was a thigh splint. But if I had kept running, it could have turned into a stress fracture, and that would have required surgery to fix. So…I finally started listening to the coaches, only now it was on my modified plan of physical therapy, aquajogging, biking, and going to the chiropractor 3 times a week. No running for at least a month, and there still wasn’t a guarantee that I would be ready by race day. By the time I was healed, I had missed 5 weeks of training, including the 21 miler (the longest we run before the actual marathon) and the taper had started (for non-marathoners, this is a reduction in mileage in the 2 weeks before the marathon to let your body rest a little). I made the last 8 mile run with the team, but without having logged that extra mileage in the previous 5 weeks, I had no idea if I would be able to do 26.2 miles on race day.

Race day came and I survived, but it was painful. Not because of the thigh splint–that was fine. But I really just wasn’t prepared. Combined with the freezing cold temps and rain, it was like pure hell on my body running that day.

That’s why I resolved to do things differently this year. It’s well-established that I’m never going to be a fast runner, but I needed to improve substantially on an almost 6-hour marathon and not get injured in the process of training. I was also SUPER unhealthy and needed to get back in shape not only to make running easier on my body, but so I can be around for many more years for my daughter. I set a goal of running Boston in under 5 hours and I made the following decisions:

  1. Follow the plan with as few adjustments as possible, including cross-training (I try to do it 3 times a week instead of 2) and foam rolling
  2. Get a nutritionist to help keep me on track with healthy eating and hopefully some weight loss (you’d think it would be easy to lose weight while marathon training…no. You’re hungry ALL. THE. TIME.)
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One month of training down…SOS is my gym, by the way, so these are days I cross-trained, not distress signals

This means scheduling everything ahead of time so I can ensure I run on the days I am supposed to, planning my cross-training workouts at 5 am to make sure I get them in, and planning out meals and tracking my food religiously. I also have a running journal where I track every run and make notes about what I ate before, what I wore, the weather, how I felt during it, etc. so I can see what works and what doesn’t over the next few months of training. I’ve been putting aside excuses I can make and am just doing all of it, whether I feel like it or not on that particular day. Probably the biggest change, though, is that I am giving myself some grace and not beating myself up if I don’t see immediate results.

And get this: all this consistency is working.

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The first group run where I wasn’t the last person to run in (also: Christmas silliness)

I first noticed it at my first run back with the group a couple of weeks ago for our 5 miler. I WASN’T THE LAST RUNNER TO COME BACK. IT WASN’T HARD TO KEEP UP WITH MY FRIENDS. I ACTUALLY GOT TO TALK TO THE COACHES DURING THE RUN BECAUSE I WASN’T WAY AT THE BACK OF THE PACK.

Then I noticed it with my recovery times. MY BACK DOESN’T HURT AFTER WORKOUTS. I’M NOT HOBBLED FOR DAYS AFTER ANY RUNS OVER 5 MILES.

Then I noticed it this week lifting weights. I DOUBLED THE WEIGHT I WAS USING FOR DEADLIFTS COMPARED TO 6 WEEKS AGO.

I’ve also lost 6 of those 40 extra pounds in the past 6 weeks. So that doesn’t suck.

The thing is, if I were going for a quick fix again and hadn’t accepted that I needed to be PATIENT, none of these changes would be happening. I would have kept with my same old patterns and had the same outcomes as before, if not worse. In the past, I would have given up by now because the changes hadn’t been drastic enough. Instead, I am excited to see the cumulative effect of all this hard work come April 15th.

“It’s not what we do once in a while that shapes our lives. It’s what we do consistently.”
― Anthony Robbins

I’m running the Boston Marathon in April 2019 with the Boston Children’s Hospital Miles for Miracles Team and have a goal of raising $15,000 by race day. Your contribution in any amount is appreciated! Click here to donate!