Dr Mick Serpell, Consultant in Anaesthesia & Pain Medicine for Greater Glasgow & Clyde NHS
Let me explain, I work with patients who have chronic pain. My journey as a novice in the triathlon world required me to make changes in my beliefs and behaviours.
Changes very similar to those required by patients with chronic pain, who wish to regain some form of ‘normal’ life after all available treatments have been tried and failed. This rehabilitation is usually done through a process called a ‘pain management program’
It all started with my first ever triathlon event, just off Oban in August 2013. The ‘Craggy Island’ triathlon involves a small swim (550m) from the mainland to Kerrera Island, then a 14K mountain bike ride, followed by an 8K cross-country hill run. The short swim distance was what attracted me, as I could not swim more than two lengths of a pool without gasping for air. Swim training started six weeks before race day. Slowly I built up my tolerance to twenty-two pool lengths. I was ready, right?
Wrong! A sea swim is completely different from a pool swim. Cold and choppy is the water, and you can’t see what lurks below! It was a memorable introduction for me to the world of open triathlon – nearly drowning on three occasions.
However, I made it to shore and crawled into the transition area for the bike phase. As I warmed up and established a rhythm in the running section, I clawed my way up (literally on some of those hills!) to finish in just over 2 hours.
I had survived! Feelings of immense satisfaction and disbelief hit me at the same time. And, rather strangely, I had enjoyed myself. If I were to do this again, though, I would need to be much, much better prepared .
Over the next two months I pondered. I read a book on triathlon training (Be Iron Fit by Don Fink), focusing particularly on time management (Preparation). Could I devote the time required? I decided to bite the bullet and booked a triathlon event as late in the 2014 season as possible (Goal setting) in order to avoid starting the 30-week training programme until well after the Christmas holidays – I enjoy my food and drink a little too much (Boom and bust).
Training started in January 2014 with the ‘5K challenge’, which a group of friends were doing after the festive indulgences (Action). The challenge is to run 5K every day for the whole of the month. It is a real test of commitment to do it every single day, for 31 consecutive days, especially during that dark and miserable month. On some days the run was done at 4 AM before going to the airport or at 11:30 PM after a busy day on call. But I completed the challenge and knew then that the task was possible.
I had never intended to do a full Ironman. I booked it as there was no other triathlon event late enough in the season that didn’t clash with holiday or business trips. I naïvely thought that doing the training for a full Ironman couldn’t be much more effort than training for a half! My 30-week schedule factored in practice events such as a Standard (Olympic) distance triathlon. These revealed my weaknesses (fitness, technique and equipment) and gave me specific areas to focus on (how to fix a flat tyre mid-race, how not to forget to bring a wetsuit and have to borrow one two sizes too small!). Completing these events also gave me confidence that the big race was achievable.
Taking Part in Ironman Wales
Sea swim (2.4 miles), bike ride (112 miles) and marathon (26 miles) all in one day!
So the big day finally arrived, much quicker than expected. I would like to share what I think are two important lessons from my Iron Man.
Lesson 1 – Preparation
The closer I got to the event, the more I realized that mental preparation was absolutely essential before the race. So, I drove down straight from work (4 hours sleep in Cardiff) to arrive in Tenby on the Friday morning for the first practice swim.
There was a sea swell of up to two feet. I spent the next two mornings just getting familiar with the conditions. Thanks to my practice sessions in Scottish waters, cold water temperature was not an issue. On race day (Sunday) the swell did not look so bad when we started at 7 AM. It soon picked up – many were seasick and vomiting, over a hundred swimmers were pulled out and the swim stage was very nearly cancelled.
I was not ignorant of these facts as I was either being tossed up in the air by waves or buried under them in an avalanche of water. I didn’t try to fight the conditions; I was relaxed and calm and accepted them (mindfulness). The next day in my hotel, I met a seasoned Ironman who said he had never experienced such rough waves and did not finish the swim. I strongly believe that without those two preparation days, I would not be writing this story in quite the same way.
Lesson 2 – ‘Pace and Graze’
This is common knowledge amongst competitors, but putting it into practice can be difficult. The temptation is to fire off and chase the others in the bike section. If you do, then it’s more than likely you will hit the ‘wall’ towards the end, as you may not have enough fuel in the tank. The bike section is where you do most of your eating and drinking because it’s harder whilst running.
Usually, it is a matter of getting into a steady bike pace and start consuming! But, after THAT SWIM, the nausea put paid to oral intake for nearly an hour. It is hard holding back on the pace, but it returns dividends later when you can gradually increase momentum and reel in those riders who went off too soon.
To the end
To reach the marathon section was a relief – barring an accident, I would complete. I knew that I could jog, shuffle, walk or even crawl a full marathon if I had to. I ran the first 10K, then did a mix of walking uphill and shuffling on the flats and downhill. All the while the enthusiastic crowds lining the streets kept us all going. Their encouragement and genuine support was immense. It can never be overstated just how much it means to have people recognize and acknowledge the pain and effort you are struggling with.
After completion those same feelings of immense satisfaction and disbelief which I had experienced at Craggy Island hit me again. Tenby was a fantastic experience, which I will remember forever, and one that I would recommend everyone to try. I will definitely repeat it again, but for now I’m enjoying the rest. This is a luxury that pain patients don’t have. Will I relapse? Who knows? I’m only human. But I have a program, which I can now follow. It’s up to me and it’s my choice whether I reach termination.
If you would like to find out more about raising money for Pain Concern (not necessarily involving extreme physical exertion!), visit our fundraising page.
This is an excerpt from Pain Matters 61