Showing posts with label ACL surgery. Show all posts
Showing posts with label ACL surgery. Show all posts

Saturday, May 2, 2015

Lots of Missed Time

So this post (and the several to follow) are long overdue. I have left out way too many things that have happened in my life. A quick recap is as follows:

1) Got a serious girlfriend
2) Study for boards examination
3) Took my CSCS examination
4) Graduated Physical Therapy School with my Doctorate
5) Took my boards exam for my PT License
6) Had to switch my PT License to the state of Georgia from Tennessee
7) Went on vacation
8) Took the Georgia Jurisprudence and Ethics Examination
9) Went to Colombia, South America for 32 days and volunteered at a school for disabled children
10) Moved to Georgia
11) Moved within Georgia because my first place was uninhabitable
12) Started my career with PT Solutions
13) Began the residency program with PT Solutions
14) Got up to speed on how to treat patients
15) Moved to our Chatsworth clinic with PT Solutions
16) Got promoted to clinic director with PT Solutions
17) Business boomed with the clinic
18) Racing boomed with my new team as a Cat 3
19) I crashed in a very cold and rainy race
20) I raced again and won a very big race at Sunny King
21) I crashed again when someone made a mistake and took me out
22) I'm learning to walk again after that crash tore multiple ligaments in my left knee
23) I've hired 2 new clinicians to come on and help me at my new position
24) I'm waiting on and MRI and discussions on possible surgery and the route we might be able to take without surgery.

I think that very quickly gets everyone up to speed without any real details. I will be writing again (right now) on explaining things in more details and bringing the blog back up to speed. Wanted to get this out there though.











Monday, July 22, 2013

Race Report: State Championship Criterium

Boom goes the dynamite! It was a blast surging up that final hill, braking into the final corner, jumping out of the final corner, kicking one more time, then sitting up to exclaim my excitement for winning the race I've been trying to win for two years. Winning State Crit was one of my goals from 2012. Unfortunately, I was hit by a car in June of 2012 and had to watch the State Crit in Cookeville from the sidelines as I stood in a knee immobilizer and on crutches. That day I watched Will Montgomery win the Cat 4 State Crit and Alan Rothrock win the Cat 3 State Crit. This past Sunday in Murfreesboro, I beat both of them to win my first State Crit Championship in the Cat 3's: my first Cat 3 race.

This is how it went down:

The latest forecast was calling for isolated thunderstorms late in the afternoon around Murfreesboro, like after 3pm. My race was at 12:40. However, about 20 miles from the exit, I ran into a hard downpour of rain. Once I showed up to the race, the course was drenched. I was told stories of the master's riders that started crashing hard as soon as the rain began in their race. Not what I was looking forward to. Knowing my braking is less than optimal with my carbon wheels and that I appreciate them too much to crash them and break them in this race, I made the hard decision to pull the Zipp 404's off my bike, change out the brake pads, and put back on my clunky, aluminum training wheels with a balding and cracking rear tire. I warmed up on the trainer, did a short effort on the back road, one quick lap to see the course and the wet spots, and we were lined up ready to start racing.

Off the Start Line

Like most races go, before I knew it we were starting. And off went the first attack. A VW rider went off the front for about the first 3-4 laps. I stayed calm and just moved my way up the pack, knowing who I needed to watch for. More attacks came and usually hard surges up the back side hill. Feeling like I had been working a bit, I looked down to see how much time we had run off. We were only 10 minutes into the 50 minute race, crap.

Another lap around and another attack went up the hill. We were heading into the last corner, a 90 degree left turn to the finish 100 meters down the road. Well, Will shot up the inside to cut the corner, the line I was set up for. His rear wheel hit mine. I ripped my left foot out of the pedal ready to catch myself, my bike wobbled. I couldn't move out because another rider's rear wheel was also there. Our wheels ground together for several revolutions. Somehow I stayed up and safe. It wasn't intentional to me and he checked back to make sure I was okay after we were through the corner. It was still scary though.

More attacks went off the front, usually attacking from the back side hill leading to the finish line. I watched some go, but made sure I followed and chased all of them down that had the important people in it. I knew who had been winning this year in the cat 3's. I knew who was at the top of the leader board for the Best Area Rider (BAR) classification; the guys that needed to score points. When those guys went, I went. And I was right on every one of the attacks. It pushed me, but I was able to continually respond. I caught some flak later on for not pulling as much, but I feel I did a fair share. Plus, I wasn't racing for anyone else. I had no teammates. I was racing for me. If they wanted the field strung out, if they wanted to set something up, if they wanted to breakaway, then they were welcome to go ahead and do it. I would be right there on their wheel.

See, I did more than one lap on the front.

Matching Attacks

Things had been drying out since I got there and by the time my race started the course was essentially dry. By the halfway mark, I was telling myself, "Man, I really wish I would have put my Zipp's back on. I could be rolling so much faster." And right on cue, it started raining again. It rained hard for maybe 15 minutes. Sitting on wheels became irritating as the water was flung into your face from the rear wheel in front of you, hot from the pavement. The race slowed down, and I took things extra cautious through the corners letting gaps open around most of them. I made sure I stayed up front during all of this. I was determined to not go down. I was scared to go down. Thankfully, not as many attacks were going off the front, discouraged I guess from the rain and the imminent final sprint.

One rider attacked with 2 laps to go. Coming into the first corner of the course, I could hear riders hitting the deck as carbon bounced off the pavement behind me. I was extremely thankful for my top 5 positioning as the crashes were behind me and only bettered my chances at this point, not the first time this has happened this year.

Playing Games


Closing in on 1 lap to go, I could see the breakaway rider was slowing and shouldn't be a threat. Then somehow I got caught on the front of whatever remained of the field. I would be left to lead the field around the last lap of the race and make the final push to bring this breakaway rider in. I still took everything cautiously knowing the real "storm" was about to explode as we approached the backside hill for the last time. I came around the big sweeping 120' turn. I picked up some speed and began watching over my right shoulder as I was close to the left gutter. I heard something back to my left and looked around to see Will attacking up the left side. As he passed by me on the left, a big attack came from the right. It was time to go. I began accelerating knowing we were a long way from the line. For a few seconds both riders stayed in front of me. I worried...for a second. Then my pedals really began to turn. I was off. They dropped out of my periphery as I approached the final turn. I stopped pedaling well before the turn and braked through the first part of the corner, feeling no one close to me through the corner. Once I felt safe from the slick asphalt, I stood up to finish my sprint for the line. In that burst my rear wheel hopped over some pavement. I pushed on and laid down some power. I looked over my shoulder and was finally certain I had just won the race. I gave a Hulk salute to the crowd and screamed with excitement, hands up across the line.

Finishing Straight
"Roaring" Finish
With that win, I finalized the triple crown of cycling winning all three disciplines of cycling on the road: the State Championship time trial, road race, and criterium for 2013. Throw in the State Championship Cross Country race and the BAR Championship I have locked up in the Cat 4's and it's been a very good year for me knocking down several goals. I'm thrilled to be doing so well this year after such a big injury last year. Maybe that's what it took for me to focus down on one sport and get really determined to push myself and make something happen. I thank HUB Endurance and BRL Sports for keeping me equipped and fueled with all the top end products and services. You guys have been great.




Cat 3 State Crit Podium

Sunday, November 4, 2012

It's a Beautiful Thing

I am smelly, sticky, covered in sweat, and just overall nasty. My hair is sopping wet and sticking up where the vents in my helmet were. There are salt crystals on several different areas of my body. A gnat or two in my eye and more that died in the sweat and forest of chest hair. I'm sore and a few muscles are even cramping. I have the red, slimy gunk at the corners of my mouth from the sugary sports drink I've been consuming. I can look in the mirror and respect what I've just accomplished.

Man, have I missed this. I am back on the bike and it is a beautiful thing. The first time I pedaled it around the apartment complex, I let out a shrill of jubilation. It had been entirely too long. Nothing compares to wind in your face as you soar down the mountain at 48 mph, exploring new roads, overlooking cliffs and mountains, and taking in the beautiful fall colors of the Southeast.
This was the ride today: click here


What might be even more beautiful is the bike itself. Her name is Sabella (Thank you Michaela for your help) and she is magical. The new Red front derailleur is the best shifting derailleur I've ever used. It was definitely worth all the time setting up and not over-hyped. It makes it fun to switch back and forth from the big ring: so crisp, clean, and responsive. I am running a 28 tooth cassette in the rear too which my fat butt is really enjoying on these climbs so far. I will probably even put a 32 tooth on there for some of the big mountain races. I love the higher cadence. Climbing is my biggest weakness and I need all the help I can get. I will be focusing on that aspect of riding over the next 4 months to see what I can change. The Quarq Red powermeter crankset is an amazing new tool I am so eager to start fully utilizing. I have a small grasp of the concept of training with power right now, but am still working my way through the books and discovering how to properly coach myself to top form. The new Garmin Edge is a wonderful thing too. I never new how much more data I could get and analyze from upgrading my computer. I haven't gotten to try out the new wheelset I got with everything else. I'm certain it will be amazing though and complete the ultimate racing machine for this upcoming road season. All the equipment is there, now time to work on getting the engine running again.
The saddle is temporary. Haven't decided what I like.

Because it is majestic when you're in the saddle
The only thing I'm not happy with is the handlebar. The drops are way too flexy. I'm big, but not that big. Trying to sprint with these is a scary thing and I actually think they might break when I really give it all I got. I went aluminum too, but they flex more like aluminum foil. Not impressed with the Zipp service course bars.

There is some squeaking from somewhere in the rear of the bike. I haven't looked into it too terribly hard yet and hope I can figure it out soon and fix it.

Oh, and from the last post about camping, I forgot to mention the tick that attached to me over my clavicle. I didn't find it until Tuesday evening when I was about to shower. I remembering seeing a small speck when I was about to shower Monday night, but didn't worry about it. Since I showered once we got home Sunday night, that means it was at least attached to me for over 48 hours, maybe more. It was definitely sucking my blood and growing in size. I still didn't know what it was when I was grabbing at it Tuesday night. When I finally pulled it out I realized what it was. It was also still alive and crawling on my fingers. Ironic since we had just discussed Lyme disease and STARI in our med/surg course in school. Anyway, I haven't gotten sick that I know of, so I guess it's okay.


Thanks for reading and your comments are welcomed.

Tuesday, October 2, 2012

Down Time

I have been meaning to write an update about how surgery went and the rehab was coming for some time now, but just never got motivated to do it. I could always find a reason to put it off. It's amazing how inefficient my life is currently. I am doing very little outside of school which is only half a day Monday through Friday, but I still can't find down time to write a post or study the training book I'm trying to read. Staying busy with training, school, and social life really pushed me to fine tune my time management skills and make the most of my days. Last spring I was in class from 8-5 four days of the week and putting in around 12 hours of training a week. I stayed on top of everything. Where did that motivation, determination, and work ethic go? Down the drain with my activity level I have to assume.

Anyway, surgery went well and recovery is taking an eternity. Not exactly, but being on crutches for 45 days was a long time. I watched as my calf and quads shriveled away as my hands and armpits became calloused. It was so liberating when I could finally walk and be free from my crutches. Then walking made me sore. And I loved it. I am now back in therapy trying to regain my strength. It is a slow process. I have yet to feel any soreness in my thighs because my calf and foot intrinsic muscles are so weak and atrophied that they limit my abilities for higher function. My lower leg and foot tremble after walking long distances or in single leg stance. I like the sense of improvement, but I want more progress in more areas.

In addition to not having the motivation to write, I also was never really sure how much I wanted to divulge when I finally did write something. I definitely struggled there for a while, but I now feel close to the home stretch of being able to resume normal life again. The strength will have to come over the next several months. I cannot expect to just jump back into the form I had. It had taken 5 solid months to get there coming from an able body. It will take a lot longer now. I'm getting excited about buying new equipment, my new bike, and planning for the next race season. I have a lot of unaccomplished goals from this year that will get carried over with a new vengeance. I feel like I got robbed: my bike, my fitness, my strength, my power, my races, my season, my standings, my championships, my jerseys, my glory. And that will have to drive me early in this rehab process to regain my form. I'm just waiting for my foot strength to catch up with the rest of my body in order to proceed to the next level.

Saturday, August 11, 2012

Going Under

Well I thought I had it bad at ITU Worlds when I flatted twice and lost my first place standing. It was the worst experience I've had in the sport so far. That is until June 9th. I've waited for a while to write about this for many reasons: it was hard for me to face it for one, I didn't want to write details on the internet before the driver's insurance company accepted responsibility, and I was just feeling down and out about the whole situation without much motivation to do anything.

Most people probably already know about what happened to me, but for those that do not, or don't really know the details, here it is.

I was coming off a terrible race at Roan Groan and knew that I needed more practice at climbing, especially at the end of a race. I wanted to do well at River Gorge later in August, so I set out on Saturday June 9th, from my apartment in East Brainerd. I had mapped out a course that would take me over Missionary Ridge and the toe of Lookout before jumping into the River Gorge RR course. Things were going well and I was having fun playing out in my mind how the race would turn out this year and how things happened last year. I climbed Raccoon, stopping at the overlook to refill my bottles, eat some snacks, and take in the scenery. I started my descent from the mountain to head back home to get ready to head out to River Bend that night. Once I got off the steep slopes of Raccoon and made the hard 90 degree left hand turn, I saw a truck stopped at a stop sign on a side street to my right. He began to pull out to make a left hand turn and come up the mountain towards me. I was getting nervous and applying the brakes. As the truck got further out into the intersection, I was horrified to realize he was carrying a boat. His truck and boat were covering the entire intersection leaving me no place to go. I am grabbing as much brake as I can by this point. My wheels begin to lock up and my rear wheel starts fishtailing out from under me to the left. I was in shock and utter disbelief as I covered those last 3 meters before contact. I couldn't believe this was really about to happen. Skidding out placed me in a more parallel position to the boat so that my left shoulder and knee hit the boat first. I bounced off and swung around the back of the boat as the driver continued to pull away. I hit the ground and my bike went bouncing. I rolled around on the ground in intense pain in my left knee. It wouldn't straighten out and I knew I was injured pretty badly.

The driver and passenger got out of the truck after they pulled over to the shoulder. I laid in the middle of the intersection as they called 911 and asked if I was okay. I think the screaming and writhing in pain should have indicated I was not. Thankfully, I had just seen fellow teammate Jim Farmer at the top of Raccoon. He was packing his bike up and was about to come down. He drove up on the scene shortly after the accident happened. Another woman who had been running on Raccoon also stopped on her way down. These folks helped out a ton (Chattanooga obviously has an amazing outdoor community that cares for each other). My teammate was able to collect my bike and belongings and the other lady was able to call my parents back to let them know what was going on. The paramedics and fire truck arrived a little while later. They put me on the board and we were headed off for Erlanger ER.

Several radiographs and a CT scan later, they determined I had no broken bones and would have to follow up with an orthopedic surgeon the following week. The first visit with the surgeon was terrifying. The laxity in knee from the clinical examination pointed to several tears and disruptions in the tissue. The MRI ruled some of them out, but I was still going to need surgery. Thankfully, I didn't need immediate surgery which would have caused me to miss my first clinical rotation and be forced to sit out of the PT program for one year. Glad I avoided that disaster.

After much hassle with the police report, the driver, and the driver's insurance company, his insurance company finally accepted fault. They are collecting my medical bills and already reimbursed me for my bike minus depreciation.

I've had ups and downs over this time period. Times I would feel super energized about training for next season and all I will be able to do. Other times I was depressed and could only think about all the stuff I was missing out on and how hard it would be to come back after surgery. I missed several races including the Crit State Championship, which I was favored to win, the rest of the TBRA races, which now means I lost my Best Area Rider qualification, two Xterra races, which means I will probably lose my regional champion status and bid to nationals, as well as the Georgia Gran Prix stage race, the Huntsville race weekend, and two more crits in Atlanta. No defending my crit title at River Gorge this year. I also feel bad about letting my team down. This is the first time I've ever raced for a team and it ended with a terrible showing for myself. I wanted to do well to validate my spot on the team. I will have to settle for next year.

I got robbed, and I hate it. I've been so angry. But this is just the year I've been having with several broken pieces of equipment that required replacing and the bad finish at ITU. I have great plans for coming back next year with a more focused training plan, better knowledge of how to train, better equipment to train with, and a burning desire to come back strong and dominate the Cat 4 field. I'm trying to construct a detailed training plan without the help from a coach since I can't afford one. That being said, I would gladly take advice or suggestions from people out there that have had coaches or might be coaches just to make sure I am going in the right direction and I am interpreting my data correctly.

Surgery was yesterday (I meant to write this earlier in the week), so I have started the path to recovery and my journey back to sport. However, I guess I underestimated this surgery because of how easy my last surgery was on my right knee in 2007. I had my ACL reconstructed with a cadaver graft that time and I was able to get a full quad contraction the morning following surgery and was up ambulating without much pain at all the next day. That is not how this surgery has gone so far. I am in a lot more pain than I remembered or expected. I hope that it subsides before classes begin on the 20th. The first day of physical therapy as a patient on Monday the 13th. Should be a good experience. Just have to organize a way to get all my stuff moved to my new apartment while on crutches.

My bike got a little jacked, technically speaking

The culprits 

No big deal

No clue what this leg hit to get bruised