17.9.16

A stroke of heat

One more year. Just one more year and I’ll be content and done. Ready to put this chapter behind me and move on to the next. Cancer, can we make that deal? The deal is you try not to kill me or have to have my sternum hacked open by my doctors for just one more year? That would be muchly appreciated, regards Rachael.

I know it doesn’t exactly work like that but that’s what I thought at I completed my 2016/2017 professional athlete registration. So far so good. The mass behind my breast bone and the one that sits to the right side of my trachea seem to be stable. Not changing, not growing, just a dormant unknown within.


The dust has now settled on August. I went into the season guns blazing with back to back weekends racing. I headed north again to Yeppoon Triathlon in early August. It is hard to believe this event is only in its second year with a number of events over the weekend that cater for all abilities and ages. For me it’s also a weekend to spend with my mum as she travels up with me and we stay with our long- time family friend Sharon Kingston. Quite possibly one of the most accommodating, generous, kindhearted people which I am so lucky to have in my life. She does everything above and beyond to make sure we have a comfortable and enjoyable weekend in Yeppoon. 


I had a bash at the 1500m open water swim on the Saturday morning and spent some time with one of Glenn Skinner’s junior athletes. The carb party was a humbling event. Sitting next to the amazing Katie Kelly, the vision impaired triathlete who has just won Gold at the Rio Olympics. An incredibly intelligent, friendly, positive and talented woman who is progressively losing her sight and hearing, he is really someone people should aspire to.



The race itself now seems like years ago. Quite an uneventful race for me really. I swam okay in choppy as heck water, entered transition in 3rd, rode up into 2nd with a minute buffer and got caught at 5km into the run. 


During the run leg I kept in mind that I had a bigger race in six days’ time and knew that I didn’t have run legs in me to regain 2nd so I was content crossing the line in 3rd. A huge big thanks to Glenn and Belinda for having me back again this year. Glenn, himself, comes with a rocky health history and I fear that the stress of the event gave him another brush with death, however, he was ever present during the weekend giving nothing less than 110%.

With a quick turnaround I flew home that night and was back at work the next morning. By Tuesday evening I was packing my bike again and was back at the airport by Wednesday morning. I flew to Singapore and was transferred across the border to Johor in Malaysia. Challenge Iskandar Puteri was a first time race set in the Puteri Harbour. It was hot and humid, but not as oppressive as I remember Malaysia to be. The hotel was pretty schmick with a 25m pool, gym and transition pretty much outside the front door. I rolled around the couple days leading up to the race feeling well recovered from Yeppoon and very ready to see how I was going to perform over the half ironman distance for the first time in over three years. 


Race morning came around quickly and I was soon diving off the pontoon with 7 other pro girls. I had a great swim coming out in 5th place only a minute down on Renee and Kathryn. I knew Amelia and Radka would be out well ahead but I had set a goal of top 5 for myself. I quickly made up my deficit to Renee and Kathryn within the first 10km and was happy to swap legal turns with them. I struggled a bit during the last lap and lost touch with them around the 75km mark but only lost a minute to them going into T2. 


I set off on the run, slowly. Very, very slowly. It was hot. We were told in briefing that the aid stations would be 2km apart on the run leg. I thought that was a stretch at best but when I ran through 2km without an aid station in sight I really started to worry. The first aid station came at 3.5km. The second at 6km where I picked up a can of god-knows what which when I tried to open it the ring top came off. Why have closed cans on a run course??? At this point I thought there is absolutely no way I could get through this run, it was really getting tough. I somehow kept ticking off the kilometres and could see at 7/8km that 6th was still over 8 minutes behind me and not putting time in at all. Around 10km Belinda and Justin pulled up beside me on a scooter,
“How you going Rach?” Asked Belinda,
“Not good. I’m really struggling,’
She offered me water and I questioned outside assistance.
“Of course you f&#king can, there’s no water out here,” was her response, so I took a bottle from a guy on a scooter riding besides me.

I plugged on, made it back out onto the final stretch and saw that 6th was now over 9 minutes behind me, even though I was running at 5:15 pace! God it was hot. At aids stations I stopped to have the volunteers pour ice into my bra top, take water, take soda, take whatever I could get it. At 6km to go I told myself it was only just over 30minutes to get to the finish line. I remember staggering past the 18km sign and I asked a competitor heading out onto the run if I could have some of their water to which they generously obliged. I also remember the sensation of stopping myself from falling backwards, tripping sideways and suddenly feeling like I was drunk. And then there was just black.

The next thing I remember is sitting up suddenly to projectile vomit. Then nothing. Slowly I began to open my eyes as I could feel sharp pains in the back of my left hand. I had an oxygen mask on, the room was white and the fluorescent lights were blaring above me. I knew I was in a hospital but had no idea why. I didn’t feel like I was in pain so I was confused but couldn’t formulate words to ask what was happening. I looked around at a number of unfamiliar faces before I saw Belinda standing beside me telling me I was going to be okay. She reassured me that they were trying to stabilise me. I was freezing, covered in cold blankets. Bit by bit I began to process the information given to me. I had collapsed on course due to severe dehydration resulting in exertional heatstroke. Apparently I had made it to 19.5km but I have no recollections about how I got there. I had two IVs in, but they had a lot of trouble finding veins as they had all collapsed which explained the pricking sensation in my hands. My resting heart rate was 150! My normal resting heart rate is less than 40 and I can’t even get my heart rate over 120 in the pool. My body temperature was 40, I was tachypneic (breathing rapidly) and my kidneys were in a lot of trouble. The scariest part for me was the aphasia. I was unable to formulate words, sentences or answer questions. I had the words in my head, understood what was being said but I couldn’t get the message out there. I thought, this is it, I’ve had a left sided CVA (stroke) and I will be permanently impaired just because I wanted to do a silly triathlon in Malaysia. Once I became more alert I managed a few slurred words to Belinda and the doctors and when I could finally construct a sentence the first thing I said to Belinda was, ‘I’m dumb,’ she laughed at me and said that it would pass. 


Bit by bit I managed to get my words back, come to grips with what was happening but I was still quite unaware of just how bad things were. I probably didn’t really come to grips with how serious true heatstroke is once I returned home and researched the full extent of the situation. I am lucky I suppose, that I collapsed when I did because if it had of happened out in the far ends of the course I could have been in some serious trouble. I cannot thank Belinda and Justin Granger enough for being there with me. Belinda has since told me that she thought I was going to die. It’s reassuring that I didn’t and I cannot fault the medical treatment that I received at the hospital in Malaysia.

I was moved to a ward to continue aggressive fluid replacement and monitor my kidney function. My creatinine levels were 333 initially!!! (Normal ranges are between 54-88.) Within 22 hours my creatinine levels had lowered to 89 which meant that I could leave hospital and still make my flight home that night. The wonderful Nami Koh picked me up and took me back to the hotel. Justin Granger had packed my bike so meticulously that I think he could seriously do it for a job (Thanks Jusi!). A huge thanks too to my roommate Monica who also packed my bags. I felt horribly weak and still very dizzy due to low blood pressure and dehydration but I was so set on getting on the plane that night. I got back to Brisbane and almost fainted in customs before calling in sick to work (I was supposed to work that afternoon). I made it home and slept for hours. For days all I could stomach was vegemite toast and lemonade. I took a full week off training as directed by the doctors but I honestly didn’t feel like doing anything for 10 days anyway.

My head is still getting back into the game. I am certainly going to do a race or two before the end of the year but no grand plans for next year as this point. My mind is heavily distracted with things outside of doing triathlon. Work is getting busier by the day and is a much easier way for me to earn a living! I am off to Tasmania to visit a friend in December, Adelaide in January for the Tour Down Under with my younger brother and planning a trip to Hawaii for a sports med conference so I’m not quite sure how much racing will fit into my life next year. But that’s okay.

Rachie xo