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Posted on Mon, Nov 16, 2009 : 11:50 a.m.

Pace yourself for the best results and recovery

By Zak Branigan

A few weeks into my wife, Moira Branigan's chemotherapy treatments, she developed a fever. Fevers are no joke when you have a compromised immune system, so our oncologist sent us straight to the emergency room here in Ann Arbor. Once there, the resident on call shot Moira up with some Tylenol and the fever subsided in minutes. They admitted her anyway. Her white blood cell count was dangerously low, and she could have easily become very sick.

So there she sat for a few days, isolated in a tiny room. All visitors were required to dress up like astronauts so as to avoid bringing in any infections. No outside food or drinks. No fun. Considering that her fever was gone, she felt fine the whole time (aside from the boredom, of course). And that is where our story begins. The few days while Moira was there, I was home with Leo and my work and keeping the family ship afloat. Moira was bored and lonely and a little crabby. She kept saying: “If I had just taken a few Tylenol I would never have had to come to the ER!” To which I said: “Yes dear, but then your low white blood cell count could have let a little sniffle compromise your whole treatment regimen…or worse.”

BraniganPostRun

Here I am looking a bit overcooked. This was one of my earliest races for the Komen Foundation in Grand Rapids and I was on the rivet for three miles. It was a great result but I was useless for three days afterwards.

Zachary Branigan Contributor

It is hard to suffer a setback when you are in the trenches fighting cancer, training for a marathon, or accomplishing anything worth doing. It is almost unbearable to contain your enthusiasm and restrain your ambition. All Moira wanted to do was get on with her life, to get cancer out of her system, and be done with all of this. I understood. It was probably the first time she really felt like a patient. Until then she had been cruising along as well as anyone could have hoped. It was then she learned to pace herself.

Last week, I talked about remembering to live and love your life while you are fighting cancer or putting in training miles. All of that is critical to staying positive and putting your challenges in perspective. That said, it is all too easy to overdo your training or treatment. It is natural to want to impress everyone in your running group by bounding along like a teenager. Fine, if you have it in you. I don’t. I have tried to learn to run at a reasonable, safe, and productive pace. I don’t run 8 miles at a 7 minute, 30 second pace yet because I’d probably hurt myself. My body just isn’t there right now. It is my goal to run a marathon in under 4 hours, but I have many months to build a foundation. If I don’t pace myself, I’ll end up in the ER, too.

It takes a certain element of pride-swallowing to run at a safe pace. My friend and current cancer kicker Phil Brabbs told me over the weekend that running distance races was always difficult for him because it was his natural tendency to tear it up from the beginning, even though he had the fitness for a long run. That works for a 5 kilometer race, but not for a half marathon or marathon. It takes tactics and patience. I’m learning how to be a more patient person on many levels, but running has taught me more than anything else has in this regard.

Just a few weeks ago, Moira had a small complication, and it sent us back to the ER. Just a stomach bug in the end, but it was a tough few days and her weakened immune system really had a job of work to fend it off. After that, she announced to me that she was going on a temporary hiatus from public life. She recognized that she needed to pace herself so she could make a full recovery, and that a few extra weeks of lying low would help her come back at 100 percent. It has.

I didn’t run this weekend. Last week I had logged 15 miles by Thursday evening, but I noticed soreness in my hip that told me to slow down and rest. It was tough to set aside my planned 9 mile run on Saturday morning, but I got out my bike and did a long ride instead. Calories burned, cardio tested, and it was all low-impact. I feel better already and I was still able to meet my weight loss and fitness goals this week.

In the coming months, I will learn more and more about building a foundation of fitness. I have a long way to go, but I am going to have help. In order to complete my February half-marathon and raise dollars for the Wellness Community, I have signed up for a marathon training team right here in town. We start in the first weeks of January. Running outside. At 7:30 a.m. on Saturdays. If I can pace myself in that kind of cold, I will have come a long way.

See past blog entries or learn more about my cause on my blog Average Guy Hits the Road

Comments

Dave66

Thu, Nov 19, 2009 : 6:02 p.m.

Zak -- Ah, you "outed" me. :) Yes, I'm in RF501. I've been running with Coach Gina's group since 2000? 2001? I forget. Back then it had other names. If you look around, you'll find pictures of me on the walls in RF on Liberty Street. Anyway, I signed up this year before I knew I had cancer. I tried to keep running through chemo, but that didn't work. I can walk (slowly) but not run. If all goes according to plan, I should be able to start running again in March. I *might* have enough miles to be ready for the Dex/A2 Half. I should at least be able to finish, anyway.

Zak Branigan

Thu, Nov 19, 2009 : 11:07 a.m.

Dave- your name sounded familiar...so I looked at the team pages for Running Fit Marathon 501 and there you were in the records. Was that you who ran in Detroit in 2008? Excellent run, great time! Very sorry to hear that you are sidelined these days. I am just starting with 501 and am bracing myself for the challenge. I'd be grateful to meet you one day around town, and if there is anything I can do to support or help you as you face your treatments, please don't hesitate to shoot me a message. We are all in this together.

Dave66

Thu, Nov 19, 2009 : 10:50 a.m.

I am a marathon runner, sidelined for a season with Hodgkin's Lymphoma. I tried to keep training during chemo, but end the end I just had to stop. My bone marrow doesn't like chemo much, so all my blood counts dropped to dangerous levels. White blood cells fight infections, so I'm at risk there. But red blood cells carry oxygen, and you need that to run. The last time I tried to run, my heart rate spiked to 240 beats per minute after a mile. That's way, way too fast. So that was that, no more running until I'm done. I walk and that's OK as long as I don't go too fast or climb big hills. It's hard, I get out of breath just carrying a basket of laundry up from the basement.

Wolverine3660

Mon, Nov 16, 2009 : 7:25 p.m.

Very true, Zach. -Sid