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    DLEDBETTER11   23,372
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What NOT to do in a marathon! San Antonio melt down.

Tuesday, November 15, 2011

I knew going into Sunday's marathon that it was going to be hot. This is a bad thing for me because I sweat a lot. Having lost 10 lbs and more in a single run so I have to protect myself from hot runs/tris. Weather forecast for Sunday in San Antonio was temperatures ranging from the low 60's to mid/upper 80's. If I could have picked the schedule, I would've run before the sun came up...but that's not how it works.

Race start time was 7:30 and the 7th group of runners didn't reach the starting line for almost another 15 minutes. It was already warming up. As a rule, I can typically run 1 - 2 miles with out breaking a sweat...Sunday, I was working up a good lather in the first half mile.

Looking back at the sequence of events, I made some great decisions. I backed out of my pace at mile 6 when I had finished off my first 24 ounces of Gatorade and an additional 8 ounces of the drink on the course. I knew I couldn't continue to sweat/drink this much with out having issues. At mile 13 I decided to start walking/running. This was a crushing blow to my ego but I wanted to finish AND survive. At mile 24 I checked off all of the warning signs of heat exhaustion and decided to slow down to a slow walk and continually dump water on my head.

That last decision was nearly fatal. A better decision would have been to quit there at mile 24. Being a first aid first responder I can list the signs of heat exhaustion in my sleep so I knew that I was there and to continue would be to risk heat stroke. My last conscious thought was to walk to a first aid tent and seek help there - unfortunately the next tent was the finish line.

I lost everything in my stomach at the finish line and the nice lady in charge of the finish line said "you have to keep moving through the finishing chute"...but I could barely stand. Seeing a grassy spot beside the finish line, I plopped down hoping Genny (my wife) and her friend would see me there. The first aid tent was a quarter of a mile away on the other side of the parking lot and I knew I couldn't make it. Having finished so slowly - there was no one around to ask for help...but finally, Genny finished and saw me laying there in the grass.

"Do you need help" - she asked very clinically...she had her business face on. I said yes - I'm about to black out.

Oddly the paramedic was an Ironman - small world! Two minutes after being loaded into the ambulance I had 18 gauge harpoons rammed into my left hand and right arm, blood pressure was 95/65 and I was blacking out again. Nausea set in again almost immediately...I remember thinking I'm getting no where fast!

In the ER, the Dr. gave me something for the nausea and 2 more bags of fluids (the total is now at 3). "Mr. Ledbetter, the blood work came in - it isn't good news. You have enzymes leaking from your heart into your blood indicating heart damage. You also have an Atrial Flutter - you are at high risk of a stroke and will have to stay over night for treatment and observation.

That's enough to shake anyone! Through all of this, Genny was a trooper. She was exhausted (remember - she ran the marathon too) but she handled everything from the hotel to rescheduling flights to talking to Rebel's kennel. When I apologized to her for putting her through all of this, she said "we love this and do it knowing what could happen"...I love her!

When the cardiologist came in the next morning, he smiled and said - "Did you finish?" "I know the blood work looked bad, but by 11:00 last night your heart rate returned to a normal sinus rhythm and your blood work looks like any other marathoner's would. I don't believe there was any damage to the heart and your body is recovering very quickly. I'm releasing you with a suggestion that you take it easy for a day or two.

I could have turned cartwheels! I even get to return to training Friday...only this time with a renewed passion. I will NEVER be in that position again. I will not risk my health - I know when enough is enough. Also, I will be so over prepared for every event that this will NEVER EVER happen again!!! All of this could have been avoided if I had just stopped at mile 24.

Marathons are not overtly dangerous, as a matter of fact, the training is a healthy life style. I was a danger to myself. If you are considering participating in an endurance event, learn the warning signs of heat exhaustion & heat stroke. Do not over estimate your ability to cool off or rehydrate by yourself. I will continue to run marathons - only with out the over confident / cocky and dangerous finish at all cost approach.

Finally - I would like to remember the gentleman who lost his life at the race and offer best wishes to the lady who the paramedics were able to bring back and the 8 others who shared an ER with me after the race. Our families know we love to run emoticon
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  Member Comments About This Blog Post:

STREAKFREAK 11/18/2011 8:51AM

    Oh honeyyyy... I have been wondering where you disappeared to. Little did I know! I'm SO glad you came out OK.
emoticon

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CONFIDENTLY_FIT 11/18/2011 6:03AM

    YIKES! What a scare! Glad to read you are ok:)
Important lesson learned...always listen to your body.
Hope you and Genny ( and Rebel too) have a nice, relaxing weekend!

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ON2VICTORY 11/17/2011 7:59AM

    wow, im so glad you are ok. That was quite a scare. I know i would be rethinking some things. Thanks for the warning about the finish at all costs mentality.

It could have been worse and i too would be turning cartwheels at the good report. It is a second chance.





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TYKXBOY 11/16/2011 7:27PM

    My sister ran the Chicago Marathon a few times, including the year they stopped in halfway through because of the heat... One year she stopped at an aid tent halfway through because she was starting to feel faint. She woke up in the hospital. Dehydration. Fluids are oh so important. So happy to hear that you are okay. Also very glad that you continually recognized what was happening and backed off, otherwise it could've been so much worse. Very scary! These are valuable lessons that we all hope not to learn the hardway!

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KKINNEA 11/16/2011 7:08PM

    So glad you are recovered! It sounds like it was amazingly tough out there. I will go learn the signs of heat exhaustion so that I can stay away from any issues since I'm the type that may have pressed on too.

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KJDOESLIFE 11/16/2011 1:15PM

    Wow! I'm glad everything turned out ok. I agree - knowing the warning signs is VERY important!

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RHONDALYN10 11/16/2011 8:31AM

    WOW! That is some crazy insane business. Glad to hear you are ok. Your wife is AWMAZING!!
Good lesson for all of us - listen to your body.
Rest up!

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KA_JUN 11/15/2011 11:58PM

    emoticon dude..........wow, glad you're okay and on the mend.

"I will not risk my health - I know when enough is enough." aint that the truth.

heal up fast...wow.

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_LINDA 11/15/2011 10:56PM

    WOW!! So glad you made it through and with no apparent ill effect!! That is one scary ride!! You do have a very understanding special wife! May you and Genny enjoy future races -safely!!! That is quite the amazing toll that race took on people -how very sad :((
Heat is not something worried about too much here -more like hypothermia.. We used to get blistering hot summers here, but that seems by the way side, haven't had one in many years. People were wearing toques and gloves for the marathon run here in September....
Interesting about your blood pressure -my normal reading is 100/59 -the ER tech questioned me about it when he saw it -my Mom is the same way.
Have a good and fast recovery!

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GEOPENGUIN 11/15/2011 9:26PM

    you are an inspiration...glad you made it to play another day!!!

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AIMLESS07 11/15/2011 9:04PM

    Whoa! Glad it all turned out okay.

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BLACKROSE_222 11/15/2011 8:32PM

    HOLY CRAP! I'm so glad you and Genny are okay! Wow, I don't know if I would have been smart enough to stop myself... maybe I should be giving myself a crash course in Heat Stroke. Wow, thanks for the tips, and I'm just so happy you are okay. emoticon

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HONBAD 11/15/2011 7:27PM

    Sorry to hear about the health scare, but I'm glad everything is ok! Sounds like you learned some very valuable lessons. Thanks for sharing!

Cheers!
Liz

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CHICKYB 11/15/2011 6:57PM

  A lesson learned, listen to your body, which is hard to do when your brain won't cooperate during such intense activity. I ran Marine Corps Marathon in Washington and got hypothermia after the race.

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HEIDI-25 11/15/2011 6:53PM

    I am glad that you are ok. What a scare that must have been for you and your wife. I will most definitely take to heart your warnings and look into heat exhaustion and heat stroke. Thanks for sharing your experiences.

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