tag:blogger.com,1999:blog-834846832861622672.post7355137361840381627..comments2024-02-06T08:43:35.333+01:00Comments on Sea Legs Girl: Western States miracles through the eyes of a physiciansea legs girlhttp://www.blogger.com/profile/14782712411873234071noreply@blogger.comBlogger12125tag:blogger.com,1999:blog-834846832861622672.post-51300018750886626702013-07-04T16:54:53.622+02:002013-07-04T16:54:53.622+02:00To my husband, Fast Bastard. You are still the wor...To my husband, Fast Bastard. You are still the world's fastest Danish Hematologist. So no worries. ;0)<br /><br />Pam- that is too funny. Next time I see you, we'll talk about Howell Jolly bodies.sea legs girlhttps://www.blogger.com/profile/14782712411873234071noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-80206370922296688252013-07-04T16:51:03.842+02:002013-07-04T16:51:03.842+02:00Thank you LTF. I went right away to the link and r...Thank you LTF. I went right away to the link and read the slides. Great info - those data are really similar to Western States' but actually less dramatic. I really appreciate that and asked Marty Hoffman if he was aware of the WHW data and he was. So at least all of the biggest researchers in the field know each other. I really appreciate that you sent that.sea legs girlhttps://www.blogger.com/profile/14782712411873234071noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-34140221441935911892013-07-04T12:31:45.932+02:002013-07-04T12:31:45.932+02:00Whatev.
If you people bothered to read the fine ...Whatev. <br /><br />If you people bothered to read the fine print you will see that it says "World's Fastest Clinical Hematologist - Hematopathologists Need Not Apply". <br /><br />I mean, otherwise the blog just wouldn't be the same. <br /><br /> Fast Bastard - World's Fastest Hematologisthttps://www.blogger.com/profile/09439674206797439620noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-90027985832365465702013-07-03T23:15:36.388+02:002013-07-03T23:15:36.388+02:00Unlucky, Fast Bastard! There goes your blog title...Unlucky, Fast Bastard! There goes your blog title...<br /><br />Either that or get training hard:)<br /><br />-Alicia<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-6027764943986420092013-07-03T21:01:44.358+02:002013-07-03T21:01:44.358+02:00Tracy- Thanks for the kind words. It was great to ...Tracy- Thanks for the kind words. It was great to meet you at WS. Thank you for being part of the med team. While what I went through wasn't so fun last year, I know a lot of the changes they made this year were in part due to what happened to me last year, so in the end it will benefit runners and benefit the race.<br /><br />And to "Fat Bastard" - I am board certified in hematology; my specialty in pathology is blood diseases.Pamhttps://www.blogger.com/profile/17695365862543446730noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-48440043652840395542013-07-02T02:23:18.809+02:002013-07-02T02:23:18.809+02:00Hi I enjoy following your posts here - and similar...Hi I enjoy following your posts here - and similarly, your's too Jill. I was following the West Highland Way ( Scottish ) endurance ( 96 mile) race held recently and found an interesting medical lecture by the Doc in charge of their medical team.Might be of interest - link here http://www.westhighlandwayrace.org/downloads/Dr%20Chris%20Ellis%20-%202013.pdf<br />ltfhttps://www.blogger.com/profile/01918960015653287215noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-10490382853598957962013-07-01T23:03:35.211+02:002013-07-01T23:03:35.211+02:00Oops. Flight not fight. :-)Oops. Flight not fight. :-)sea legs girlhttps://www.blogger.com/profile/14782712411873234071noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-84887330826396439612013-07-01T23:02:19.024+02:002013-07-01T23:02:19.024+02:00Jill, Great question! From research at Susitna and...Jill, Great question! From research at Susitna and WS, it looks like hyponatremia occurs at the warmest and coldest temps in endurance events. What you experienced at Susitna was likely hyponatremia and, as you probably figured out, all the peeing was your body correcting it on it's own. My guess is you started correcting on your own because you slowed down because you weren't feeling well and just resting should start the process of raising the sodium again. How to avoid it is the million dollar question and it this point it seems like the best thing to do with headaches, nausea or confusion in these events is to slow down or stop and eat something salty. It is important you eat it and not swallow a pill because there is an important tongue signal from eating that will stop the urine retention. Happy to discuss this anytime over email or in person (if you pay for my fight ;0). Love your area of the world. Thanks for supporting Amy! She did awesome!!!sea legs girlhttps://www.blogger.com/profile/14782712411873234071noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-15579087621333495792013-07-01T19:37:58.250+02:002013-07-01T19:37:58.250+02:00Thanks for your help at the finish. Amy looked pre...Thanks for your help at the finish. Amy looked pretty pale coming into the finish and I was worried about her. :) It was great to meet you briefly. Like Danni, I too am grateful for medical professionals willing to volunteer time for these events. I'm guessing the complaints were mostly centered around frustrated athletes who were being held at aid stations? <br /><br />Also, your comments about extreme temperatures and hydration intrigued me. I always thought hyponatremia was mainly a concern in extreme heat, but you're saying extreme cold is an issue, too? In the 2011 Susitna 100, we experienced temperatures down to -20 with close to -50 windchills. It was definitely the most extreme cold I've had long-term exposure to. About 36 hours into the race, I started to feel really out of sorts — dizzy, confused, etc. — but it was also dropping into the -20s and dark again, so I associated these weird feelings with fatigue and also fear. Maybe an hour or two into this weirdness, I started peeing very frequently. As in, I would need to stop every 3-5 minutes, and not just a little bit of urine, but quite a lot. In the snow, the color looked to be light yellow to almost colorless later in this episode I was having. I never recorded how long it lasted, but it my memory it was probably 10 to 15 stops. Afterward, I felt quite a bit better mentally. It was a weird experience, and the only time anything like that ever happened to me. At the time I thought I was just retaining water. But maybe it was more dangerous than I knew? <br /><br /> I'm planning to race the Iditarod 350 in February; if you have any time in the next few months, I'd really appreciate a chance to chat with you some more about this. As you said, regular medical professionals don't always understand the context. But some insight in how to deal with this in the future would be much appreciated. <br /><br />Again, great to meet you. Western States is a fantastic event. Jill Homerhttps://www.blogger.com/profile/02983065990450931943noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-45222922719926064322013-07-01T15:16:51.026+02:002013-07-01T15:16:51.026+02:00Good thing Pam Smith is not a hematologist!
Good thing Pam Smith is not a hematologist! <br /><br />Fast Bastard - World's Fastest Hematologisthttps://www.blogger.com/profile/09439674206797439620noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-1070140915733312072013-07-01T06:11:04.368+02:002013-07-01T06:11:04.368+02:00I have never heard that the medical team has a bad...I have never heard that the medical team has a bad rep. People should be so grateful for anyone who volunteers their time to help them with their goofy hobby.Dannihttps://www.blogger.com/profile/02201053516148787578noreply@blogger.comtag:blogger.com,1999:blog-834846832861622672.post-26938642880149647062013-07-01T04:10:57.240+02:002013-07-01T04:10:57.240+02:00Pathologists for the win!!!
(Sorry, had to get th...Pathologists for the win!!!<br /><br />(Sorry, had to get that out there).<br /><br />Sounds like an incredible experience. Thanks for sharing a little of the magic.Robynhttp://thesethingshappentootherpeople.blogspot.comnoreply@blogger.com