When I last filled you all in, Brody and I had no idea he’d still be in the hospital. Although he had read about people needing to stay for days, he assumed he’d be in and out. Not so much.
Doctors do not mess around with rhabdo, and rightfully so. Without treatment and monitoring, it can lead to renal failure (aka kidney failure), which may require dialysis. Brody has had great care at Langlade Hospital in Antigo with fantastic nurses. It’s rarely ever fun to be in a hospital (the only happy situation I could think of would be a birth), but they have made it a lot easier to tolerate.
After the initial urine and blood tests and the rhabdo diagnosis, they set up Brody on an IV drip. The treatment plan is to flush his system with fluids to work all of the enzymes out. The first few bags went through quickly (on purpose) and included sodium bicarbonate. I tried to look up how adding this helps, and I would probably butcher it in my summary, so here’s where it explains it. He’s had well over ten bags of fluid pumped into his body since being admitted on Saturday afternoon and continues to drink water like a fish. Other than having Popeye-like arms, swollen from the fluid, he feels normal…just bored.
His room has a nice flat screen; here you can see Brody is watching Bill and Ted’s Excellent Adventures.
I have learned a lot about muscle damage. For instance, when you work out and become sore, there is a chance you could have a very slight case of rhabdo. When you work your muscles, they release enzymes, such as one called CPK. Normally your kidney is able to handle this enzyme, but when you have rhabdo, your body produces too much of it. A normal person has a CPK count of 175; Brody’s count when he came in was over 100,000, then it went up, and is now down again. Also, the muscle breakdown creates lots of myoglobin, and this causes the discolored urine. Brody’s count of myoglobin continues to go down – yeah! We find out if he’ll be going home today or staying another night shortly.
On a possible related note, the Green Bay marathon was yesterday, or it was supposed to be yesterday. After three hours of heat, humidity, and hospitalizations (how’s that for alliteration!), officials called the race at 9:30am. Of course I have no idea if anyone will now be suffering from rhabdo, I wouldn’t be surprised if someone was. Rhabdo can come on when exercising in extreme heat and humidity.
This made me extremely nervous for my race next weekend: what if it’s hot, humid, or sunny? Yeah, I dislike running in the sun. If the same thing were to happen next weekend as it did in Green Bay, I would find another marathon to do in the next few weeks. Considering I don’t know if I will ever do another marathon, I can not imagine just throwing away all of the training I’ve done. As of now, the weather says it will be mostly sunny with a high of 89 and low of 59. Please, please, PLEASE let that be wrong.
My final long training run that I did yesterday also made me nervous. This run sucked, big time. Chalk it up to hills, heat, humidity (my cottage is only an hour or so from Green Bay, so I was running in similar conditions), or stress from Brody being in the hospital, I took lots of walk breaks. I couldn’t get my breathing under control, especially after running up hills. My chest felt tight and I may have had a mini-meltdown around mile four. I have reminded myself of my days in ballet and dance: we always had crappy rehearsals right before a great performance. I am keeping my fingers crossed that’s what will happen with my race.
Whoa, I had a lot to say today. If you gave up and x-ed out a few paragraphs ago, I totally understand. But then if you’re reading this, you’re not one of those people. Thanks for hanging with me and following my normally normal life! I appreciate you guys and gals!
What exercise-related injuries have you dealt with?
What are your ideal running conditions?
What do you tell yourself after crappy workouts?