I stopped working on this writing project just after I broke my collarbone on June 9, 2013. And now a year has passed. So what happened?
First of all, the injury required a plate and five pins to fix and was a huge mental and physical blow. Coming off some of the best training of my life, I suddenly had 3 weeks of hardly any exercise at all. I was in pain. I could feel my muscles withering. The immediate days after the surgery were unbearably painful and I only survived with Oxycontin, though I fear addiction and tried hard to take only the minimum amount possible.
But even as I lay in bed with an ice pack over my surgery bandages and yellow and red stained pads over all of my left knee, thigh, upper arm and shoulder, some totally irrational back part of my brain I still held out hope that I could compete in the NJ State triathlon that was just 5 weeks away. It cut through the pain and the haze of the oxycontin. I had been looking forward to that race for months. I had been training my ass off, literally. In “tri speak” it was my “A race” the big one that was my major goal for the season (for my life up to this point!).
When I finally got myself to sit up and stare listlessly around the living room, I floated the idea of still competing in the race. Diane was horrified. The whole accident had made her furious at me for being hasty and putting speed above safety. I hadn’t meant to, felt defensive on all fronts and wished for more tenderness, but I could see the anger came from fear of losing me, from a deep place of love. Well, I can see that now, I guess. I’m not sure I really knew that at the time.
Anyway, she and several other friends told me the idea that I could complete NJ State was ludicrous. Furthermore, even if I did somehow manage to finish it, I’d probably injure myself more or slow my healing. It was stupid, ill advised, dangerous, demented and ignorant.
This reaction was both sensible given the circumstances, and painful to hear. I tried to argue, but the pain kept me from saying much. I just moped.
When I went in for my one week check up and follow up x-ray after the surgery, I tentatively broached the topic of completing the race with orthopedic surgeon. I was thoroughly stunned to learn that his view was much less bleak than that of my wife and friends. He said the pain was going to be bad, that the bones would take time to knit beneath the plate, but with the plate in place, I could do what I could handle. It was better to get moving than to sit around. He wouldn’t give me a full clearance on the race without measuring my progress weakly leading up to it. And it was a long shot, but he wasn’t taking the option off the table either.
Diane didn’t believe me when I told her this is what he’d said. She was incredulous. So I dragged her in with me to my two week appointment and she heard for herself. She argued with Dr. Flemming for some time, but did ultimately take in his explanation (complete with latex and plastic model of the human shoulder and scapula). She wasn’t thrilled about the possibility of me racing, but she backed off the notion that restarting my training was a sure fire way to make my injury worse. She respected the doctor’s thoroughness and was reassured that he wasn’t being cavalier and that it was HE and not I who would make the final call.
The idea of the race helped me get over the internal turmoil of injury. Prior to getting hurt I had begun to feel strong, competent, balanced, invincible, unstoppable. Now I felt weak, unstable, timid. I didn’t know if I could make the recovery without getting derailed. I didn’t want to go back to being sedentary. I saw my whole year of effort erased, the comfort eating, the Nutella, the pounds packing back on. The injury forced several weeks of stillness on me, and it’s so easy to let such things snowball. But having this crazy race idea in the back of my mind helped me find a spark of resolve.
I began riding my bike on the bike trainer one week after surgery. It was something I had to prove to myself, partly to fulfill my dad’s “get back up on the horse” advice from childhood, and partly to face down the total fear I had of getting back on the triathlon bike (now in the trainer) with it’s dinged up frame and torn handle bar tape. You can still see the scrape marks and encrusted yellow paint from where the bike ground into the yellow line tape in the center of the road. To this day I am proud that I can get back on that bike and that I did it coming off of surgery. I found a way to sit and hold myself with just my left arm, and that kept pressure of my still aching right shoulder. I did a few more bike rides that week and tried one very ginger mile of running. The running jolted my shoulder no matter how slow I went, and each jolt brought a fresh wave of pain.
Ironically, the easiest sport to restart was the one that got me hurt and that I had always like least: the bike. And at the other end of the spectrum was my favorite sport, the swim, which now seemed to be the most formidable obstacle of them all.
My range of motion in my right arm and shoulder was massively diminished. Beyond the actual broken bone, now protected by the plate and pins, there was wide scale bruising, deep and painful roadrash that would crack or become goopy when I sweat, and extensive nerve and muscle damage. The only thing I could tell myself was that I was strong enough from training that if I absolutely had no other option, I could probably swim the shorter course distance (500 meters - the equivalent of 10 down and back laps in a pool) just with one arm. I could maybe do a modified breaststroke. I could think of something. If worse came to worse, I could just float on my back and kick my way around the course. It’s not a long distance, and I am at home in the water.
But of course, I didn’t want to have to resort to any of those ideas. Meanwhile, my doctor actually didn’t want me to stop using the arm. He encouraged me to get the muscles moving without pushing to the point of further injury. Of course, that begged the question: how the heck could I know if I was passing that point or not since everything was painful? I’d have to differentiate between tolerable pain and intolerable pain. For an athlete, even one who was, until recently, 227 lbs of sedentary flab, it can be hard to determine the subtleties of pain. You run with blisters, you run with GI tract problems, you swim with a stitch in your side, you wake up with achy knees and go for another run anyway. You have to learn to ignore some pain to get stronger. I can only imagine how much harder the problem of knowing when you’ve reached the point of dangerous pain is for elite athletes who are used to pushing far beyond their limits.
I only used the Oxycontin for about three days after surgery, the moved on to a cocktail of Advil, Aleve and Tylenol for another few days, then got it down to just Advil. Still, everything hurt. I struggled with the dual desire to get up before I began gaining weight and feeling sedentary again, and to perfectly lie still in hopes of getting some reprieve from the pain.
As someone who has experienced physical violence in my past, I know all too well how to dissociate and leave my body. I can just float away. And I believe this is partially responsible for my struggle with obesity. Not only did I fulfill the stereotype of eating to push down my emotions, I ate to feel something in my body, to feel my body exist at all. Even as it became larger and larger, more unwieldy, more obvious to others, for years I struggled to feel like I was inside my body at all. Now, for a year I had given myself over to a process of tentatively reentering my body, and suddenly, with all the pain, I wanted very much to leave it again.
That was the hardest part of healing, staying inside myself, and it was probably what I needed most at this point in my journey to health. Somehow I stayed in my body, stayed with the pain, listening, experiencing the gradations, the twinges, the subtle improvements. I felt awful. But I did it.
My first session in the pool, two weeks after surgery, was perhaps my most psychologically defeating half hour of exercise ever. After months of smooth, strong swimming, I found my arm just wouldn’t go. I couldn’t make full rotation, could barely do a doggie paddle without wanting to cry. Here I could feel quite clearly that I was teetering on the edge of increasing my injury, of going too far. I tried swimming freestyle with one arm and it was as untenable as it sounds. At this point I gave up on the idea of participating in the NJ State triathlon. It wasn’t going to work. I went home and cried.