‘Till Death Do Us Part

There’s something about working in Intensive Care that you must face early on while working there: death and dying. It’s a hard subject–it is scary–why else would the “Grim Reaper” look so freaky?– but it’s a part of the natural life cycle. Although, I feel the life cycle should encompass birth, living a somewhat long life, and then dying, it does not always happen that way.

A tricky thing with working in the ICU, is you have patients who you’ll see for months. I saw it while working in the pediatrics ICU, and the same goes for normal med/surg intensive care units: the staff develop relationships with, more so, the families of the patients. You see the family members in the morning, and at night. They call during the day. For months, the nurse will see patients moved from different rooms on the unit, saying while getting report, “Oh, I took care of him/her while she was in Room X.”

And then, the patient expires.

The staff expected it long ago. If modern medicine was not here, even forty years ago, the patient would have passed away months ago. Even though you were expecting it, and waiting for it to happen, you feel a loss. And as staff members, if you cannot build an emotional barrier between yourself and the families you take care of, you simply cannot exist. And the barrier can crumble easily.

My barrier seemed to crumble today.  I’ll build it back up tomorrow.

Why do you run?

Break

I had to show my father my route to get to Woodstock today (this time, I knew where I was going). He thoroughly enjoyed the climbs and coffee break at…can you guess…Bread Alone.

Spiffy Luxembourgish jersey, there

Can’t bike without ‘em

Here, have some juice…

Hypoglycemia is a medical issue that many endurance athletes are faced with, and if not treated, can lead to seizures, coma, and death. Being in the medical field, I know how serious it can really be if untreated, and I wanted to share some information with you about the new American Diabetic Association guidelines. Hypoglycemia is not something only diabetics have to worry about, either. I have issues with low blood sugar, and must have received that from my father, who has severe hypoglycemic episodes, especially when he goes for long runs and rides.

As an athlete, and you know if you have issues with hypoglycemia, it is a good idea to buy one of those little glucometers- the little machines that take a sample of your blood and can see the glucose levels in your blood. I bought one, just in case my levels ever get too low. You can purchase them in any drug store.

The ADA 2010 Guidelines defines hypoglycemia as anything below 70mg/dl of glucose in the blood. Signs and symptoms of hypoglycemia include pallor, diaphoresis, shakiness, palpitations, tachycardia, increase in systolic blood pressure, headache, irritability, and hunger. The second phase of the hypoglycemia response in the body is Neuroglycopenic, which is when the brain things it is being deprived of glucose at peripheral and central sensors. This results in cognitive behaviors, psychomotor abnormalities and as the BS continues to drop, seizures, coma, and brain death occur.

Signs of low blood sugar

So, low blood sugar can be a big deal for those who have issues with it, esp. athletes. Each contraction of the muscle fibers requires energy–sugar basically–in order to function. And when you are going for long runs or rides, you body is using up all its sugar stores. This article isn’t about weight loss. It is to tell you what to do incase you ever find yourself having a “hypoglycemic attack.”

1. Always bring a bottle of orange juice with you on your long rides (you only need about 4 oz to raise your blood sugar). Or if you need to stop at a gas station or shopping center to get something, drink 4 oz of regular soda (not the diet! because you want the sugar!!!), or 8 oz of Skim milk (it must be skim, because the fat in whole milk delays the body’s cellular uptake of the glucose). Or, you might be able to get Glucose tablets (which are what I have), that are 15calories and each tablet has 4g of carbohydrates. Powerbars and Energy bars with a lot of protein are good for keeping you going longer, but in the midst of an attack, eating one of those will delay the sugar uptake into the cells, which is what you are trying to avoid. A simple sugar like the tablets, or eating a couple Lifesavers will give you the sugar you need, and you will feel the results within minutes.

Lifesaver candies can be life savers. I know they’ve saved my life.

Still smiling…

after a tough 50mile ride

Peace, love, and Iced Coffee

Modern day hippie

Yesterday I went out on ride, determined to get to Woodstock from where I live. In the past, I have driven to Woodstock, and have ridden my bike up close to Woodstock, but never actually made it into the small, quirky town in upstate New York, where time seems to have stopped in 1969.

I actually wrote yesterday about this trip, so I will not be redundant about my navigation skills. But eventually, I found my way to Woodstock, New York, where shops are cluttered with old black and white photographs of famous musicians from the ’60’s, tie-dyed shirts flutter in the wind, and people sit on the corner shirtless and play the drums once a day.

I set out for a goal, and that was to get to Woodstock. There’s some great riding up there in the Catskills if you like lots of hills. But after being lost in Saugerties (I know, who gets lost in such a small town?), riding in 95 degree heat and the sun blazing down on you, I was not to thrilled about these rolling hills. And for some reason, the shade from the trees was on the other side of the road that I was riding on.

Despite my silent groans, I wanted to get to Woodstock…Not only to sit and people watch for a bit, which is an activity I often do when I go to that town…But more importantly, so that I could get some coffee. Iced Coffee.

Ahh, after I don’t know how long of going up and down and dehydration and getting lost, I made it, and rode right up to Bread Alone Bakery for that glorious, burnt sepia colored liquid gold–aka Iced Coffee. As a rule, I always carry a couple of dollars whenever I go riding incase something happens (and $2 will magically fix everything, ofcourse), and when I entered the town, my two wrinkled, sweat-soaked dollar bills were taken out from their hiding place under the sole of my shoe and used to buy this beverage. God bless the barista for accepting my drenched dough. If you are in Woodstock, NY, Bread Alone has some pretty tasty Iced Coffee.

After adding just enough soy milk to raise the coffee to the brim of the plastic cup, swirling the liquid with my straw, I took it and went outside to sit on the curb (I would have sat inside in some air conditioning, but was afraid someone would steal my bike) and enjoy my “emergency” beverage for a few minutes.

Two gulps later, ice cubes remained in the bottom of the cup, and I had a brain freeze from chugging the cold liquid. I guess my attempt to savor one of the best beverages ever known to man went down the drain with my thirst.

Alas, the sharp pain to my brain was totally worth it.

Last minute fix

Fixing my sunglasses before I head out for a ride

Today’s training Schedule

Originally I meant to post my running routes and biking routes so, incase you are in the area, you could take a stab at them one day. A week later I’m doing just that!

This morning’s run was nice, there was somewhat of a breeze which decreased the chances of me passing out from heat stroke like the bike ride I did yesterday.

http://www.gmap-pedometer.com/?r=4008704

Above is my usual 10mi route. There are not too many cars on Mill road which means it’s more runner-friendly.

My bike ride today will be the below route. It’s a great, short, 30mile ride through rolling hills and farms…it reminds me of living in Luxembourg.

http://www.gmap-pedometer.com/?r=4008725

The Athlete Acknowledgement

My years biking may outnumber my years running, but nevertheless, I cannot help but notice how runners and bikers in passing greet one another. It’s what I like to call the Athlete Acknowledgement. You know, the nodding and hand signals you do to greet others you pass. It’s an unwritten rule of sportsmanship and athletic poise and politeness.

My running nods and waves tend to change, depending on my mood,  what I’m wearing, or how tired I am. When I’m wearing my infamous blue Red Sox cap running, and pass other runners or pedestrians, I will nod my head and smile, with a verbal greeting of some sort. My hand signals change, too. occasionally, I have a little flick of the wrist action if I’m tired, other times I’ll raise up two or three fingers and raise my lower forearm.When I bike, the same thing usually applies. I’ll nod with a “hi” added if the other cyclist is going slow enough to hear me. If they are zipping by, I’ll do a flip with a couple fingers, as to make sure I can still steer the handlebars of the bike.

No matter what, I always, always acknowledge the other person.

It drives me nuts when you pass someone and they do not say hello. I’m not sure if it is a generation thing–that young people nowadays are too encompassed in their Ipods or cell phones to be what I consider polite. Have you noticed this? Youngsters (I’ll take a stab and say in their teens) tend to divert their eyes and look at the ground when you pass and attempt to say hello. Whereas older folks are the complete opposite–they attempt to engage in conversation when they pass–even on a bike. I think they are simply grateful they can still move without an assistive device.

Now, what causes the other athletes to say hello to you? Is it out of  true courtesy and respect, and they are happy to see someone with similar crazy athletic behaviors as themselves? Or is it something else?

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