Tuesday, May 5, 2009

October 2008

All the work laid down in September was put to the test on October 5th. It turned out that the day was perfect. My apprehensions about weather evaporated. I'd felt that my pads wouldn't last 15 miles in lashing rain, so the only thing I had to contend with was keeping my spinchter tight and, maybe, if necessary, swapping my pads en-route (i had a spare pad, in wrapper, in a back pocket in my shorts. In the event, it turned out that I wasn't to need it, but better safe than sorry. I don't know how i was going to change it discreetly on the run, but I hadn't intended stopping.

Anyway, some 500 or so starters lined up on Summer Hill in Cork. I didn't do any warm-up, deciding that my endurance was at it's limit anyway. This was to be the acid test. I chatted with a few before hand and got lots of well wishes. One of my clubmates nearly frealked when he saw me but said little. After the race, he said, "Jesus Johnny, I really thought I see you crawling into Cobh, in last place..a sorry sight...not just 14 minutes after PC"

I ran steady all the way, running all the miles at around 8:40 pace, except for mile 14, past the old Verolme dockyard. There is a rotten hill there - it's not bad really, but after 13.3 miles, it is tough. Looking at the photos of those finishing around me, i appeared to be the freshest. Fresh I wasn't though, but it was good. I was really a one-paced runner and running close to the margins of my delicate "membrane". I'd finished a 15 mile race in 2:04:44, just 131 days after major surgery! Wow! Acid test passed!

The following Sunday I turned out for my Club, Eagle AC, in a 4 mile cross country race. This was a much more competitive affair than the previous sunday. The day was very foggy and, after only about 300m, I was left stranded, well adrift of the pack. I ploughed on nevertheless and, after 2.5 of the 4 laps, caught up with the second last runner, one of our own new members, running in his first ever race. I ran behind him for the next lap - I hadn't the energy to pass and he thought I was staying behind him to "encourage him". With half a lap to go. I did what any gallant cross country runner does to a flagging clubmate - I left him in my tracks!

September 2008

September was a quiet month. I did one race, the PTAA 5k in Togher. I ran it in 24:56, finding it tough all the way, but I hung on and wasn't tempted to push the pace. I always find this a tough one. The altitude profile isn't bad, but i just find it a hard one to run - can't seem to get into a pace any time I've done it.

For the rest of the month I concentratedon getting my long run in, generally on a Sat or Sunday and did it all on grass at The Farm. Any time friends or colleagues were there I left them off - my 10 min miling was too slow for them. Prior to the op, I'd have been doing the 2.35 mile circuit somewhere between 18:00 and 19:00 - now I was going at about 24:00 and somewhat erratic at that. I didn't mind. I had a target - the 15 Mile Cork to Cobh road race on October 5th. I had only two concerns for the race - lasting the pace and continence. The endurance I could, and would, work on. My bladder was another matter and was weather dependent - I'd see closer to the day.

So once a week for 5 weeks before the race, I ran 11.5 miles. It generally took me nearly two hours to do it, but I managed to get it in every week. My mileage went 17-26-30-24 and 32 for the week including the race.

All through the month I was working hard at the fitness/stamina, without pushing. this was like gently pushing at the surface of a delicate membrane, all the while realising that i could very easily rupture it - in other words set myself back massively. Like I always advise those I coach "Make haste slowly!"

Friday, April 24, 2009

August 2008


Right....It's now almost May 2009. I need to get the Blog to live up to it's title. To date, there's been very little mention of running. I'll just have to knuckle down and get something together.

While the Blog is (intentionally) relatively hard to find, - you'll really need to be looking for something specific to find it - I've had quite a few personal comments and stories from 'fellow travellers' and others contemplating surgery, so, I think, it is serving its purpose. That is, to give men (and their spouses) an idea of what they might face when undergoing a Radical Prostatectomy. Eleven months (actually it was 11 months ago on Wed - today is Friday) after the op, and I'm starting to feel strong again. Ok, I'm still on ED medication (but seems to be gradually improving) and I sometimes leak a little while running, but I'm totally continent (Touch wood!!) at all other times, but how bad. This is far better than my wildest dreams before the surgery.

Anyway back to August.

The diary part of the Blog stopped on Tuesday August 12th, the day after my first periodic post-op check-up. I'd gone for a run on grass that day and hadn't been too tight in the waterworks dept.

On Wed. Aug 13th, D & I flew to Faro, Portugal for 11 days break - she had to be back at work for Mon 25th. We had an apartment booked in the Aqualuz complex in Lagos, some 50 miles west of Faro. After an early flight 06:30 - thankfully we live only 10 mins drive from Cork airport! - we drove to Faro. I was wrecked and spent most of the afternoon lying on the bed, recovering.

One of the things that we like about this smallish complex is that it has a lovely swimming pool and, while I rarely swim now, I enjoy swimming there. It's nice to cool off once in a while. I was a lifeguard during my student summer holidays over 35 years ago - my God! How Long! I don't want to think about it!

I had decided before we left, that I was only going to run every second day, that I wouldn't do my normal 5 or 6 mile runs there, and that I'd only do a short run of 2 miles or so, at an easy pace. I did intend swimming, stretching and doing press-ups every day.

So on Thurs, the day after we arrived, I did 6 untimed lengths of the 20m pool. It was hard work. I was well aware that I didn't have the strength or speed that I had before. D said "Now you're swimming like the rest of us!" I find swimming is a good indicator of how you really are. Running or cycling, I can rationalise a bad day as being due to wind/heat/rain/time of day/whatever. Swimming (in a pool) is a different matter - if performance is well below par, it's usually because I'm below par. I wasn't expecting great things in the pool anyway, but I was surprised, considering the non-loadbearing excerise, at the loss of strength I'd had. Still this was my marker. It was the base from which I intended gauging my progress.

I had deliberately chosen a relatively flat course of approx. 2 miles as my route and set off slowly - no push/effort - about 12 min miling. After Tuesdays debacle, I wore a pad and found this a great (mental) comfort. The run itself wasn't too bad, but I fould it hard to relax fully - I feared the pad failing to absorb everything and the embarrassment of going through the complex foyer on the way back. I needn't have worried. I did leak but the amount was quite small, I'm guessing several of tablespoons. OK this would certinly have caused me some grief if I hadn't had a pad, but apart from the obvious reason for using it, the second reason was to enable me to relax in my running, knowing that I had "a parachute".

So for the remainder of break, I ran every second day,varying the route slightly and increasing the distance to approx. 2.5 miles. The effort was the same and I made no attempt to increase my speed, or introduce hills. Where I did make a big effort was in the pool. While, again, I made no effort to increase my speed, I did increase the load, going from my initial 6 lengths to a final total of 46 on the last day of the holiday. Most of it was breaststroke as I found the occassional frontcrawl quite hard. Breaststroke was my stroke when I swam competitively and has remained my favoured stroke.

We returned home on Monday 25th and that night I ran with the girls from the Meet&Train group for the first time in three months. I always go with the back-markers, so I was able to 'hide'. The 3 miles was tiring but OK.

On Thursday Aug 28th, I lined up for the Ballycotton 5. I'd only missed this event once since 1987 but had no hope of getting within "an asses roar" of my course P.B. of 28:09, set in 1990. I set out at the back of the record entry of 378, intending to start at around 9min miling for the first two or three miles. I think, after a couple of hundred metres, that there were about a half dozen people behind me and I continued steadily until about the two and a half mile stage - it's more or less level or down until about that point. Feeling good, I upped the effort a bit, knowing all the while taht there is a 'bitch of a hill' just at the 3 mile mark, with a sting in the tail, just 250m after that. I took the hill strongly, but conservatively and pushed on, strongly but certainly not hard, until 1 mile to go. I always find the last mile here hard but I pressed strongly, finishing in 348th place in 46:04, doing the last mile in 8:30. On the way into the finish, through the small lower village, I had great cheers and encouragement from my fellow athletes. Quite a few knew or had an idea of what I'd been through. Their encouragement was wonderfully uplifting. I felt I had come back.

Friday, October 24, 2008

Friday 24th October

I can't believe it's over three months since I updated the blog. If you're wondering how I'm doing, suffice to say that blog activity seems inversely related to recovery and well being ..............so....in short, I'm doing good!!

I have been keeping the diary going, but nowhere as diligently as during the early days of recovery. I intend to fill in the missing three months, but not for a week or two at least.

Current Status
Since late June/early July, 4 to 6 weeks post RP, I have had full bladder control during normal day to day activities. I resumed running in early August, and have been running with a pad (Tena 1) most of the time since. I have tried without a pad a few times and, for the most part, it's been OK. I've been dry running several times and event went two weeks where I was dry for all runs, however I then resumed speedwork on the track and, as the load increases, so has tendency to leak, but it's manageable. I've also resumed racing and recently competed in a 15 mile road race, just 122 days post Op., and also a cross-country championship. Both went OK. I was quite apprehensive about the 15 miler but it went well. I finished in 2:04:07 (I did the course in 1:28:28 in 1990 and 1:48:34 in 2007). I'd targeted 2:15:00 but secretly hoped to dip sub 2 hours, but I was happy with the finish.



This is me just coming into the finish line in Cobh. I was absolutely delighted to get there, particularly without any bladder issues - I was dry, apart from some minor leakage - I probably could have run without a pad. It was damn tiring - I really hadn't the base training done for a 15 mile race, but I'd never missed the race since the current series resumed in 1990 and that was an incentive to do it.

You can see more photos from the race on the Eagle AC website. BTW, That's me in the lead photo for the Gallery. I figured that I'd had the Star Performance of the day, and so deserved Pole Position!

Weather here has dropped a few degrees recently and I find that I'm leaking more also. I'm putting the leakage down to several things; Speedwork volume and intensity is increasing, I'm drinking more fluids, daily workload has increased and, in particular, the temperature drop.

Drinking and Incontinence
Some observations:
* I haven't drunk alcohol (much) for many years, so that hasn't been an issue.
* I stopped drinking coffee whilst in hospital in May, and I've never liked tea, so water is the drink of preference now (Yeah, I know! Sad individual!) When I can get it, I drink hot chocolate.
* Citric drinks - Orange/lemon etc - stopped taking them. Pretty sure that they were leading to strong tendency to leak.
* Soft drinks/carbonated drinks - same as for Citric drinks.

As I generally run in the evening, I tend to do most of my drinking/fluid intake early in the day, so that my bladder isn't under pressure when I run. If I'm running in the morning, I prefer to drink little before running.

What Now for the Blog?
I'll try to fill in the missing three months soon, but the active Prostate Cancer blog is clearly coming to an end. I don't know what I'm going to do with it in the future. Probably do a periodic (monthly?) summary. We'll see.

Wednesday, September 10, 2008

Tues 12th Aug

Tues 12th Aug
After yesterdays clean bill of health and the OK to return to exercising, I went to the farm and ran 2 laps (about 4.5M). Pace was quite slow, it took me approx, 51 minutes for the two laps. Before the op., I would have done it in around 37/38 min, or 34/35 min if doing a fast session.

My bladder wasn't full starting but I began to dribble very early. I passed a couple of walkers after about 0.5M and, as I passed, I felt could feel a dribble running down my leg. I eased off after that but stopped every 2 to 3 minutes to empty an already bladder - there was never much in it. When I was concious of it, I leaked. I think I didn't when I (rarely) switched off. I had a second bad leak episode when a woman was approaching. I think, in both cases, that I was afraid that they'd see my state.

I haven't been wearing pads at all since July 4th, however, for the foreseeable future, I think I'll have to wear one while running.

Monday 11th Aug - First Check-up Post RP

Monday 11th Aug
We were up at 06:00 to get the 07:30 train to Dublin. My appointment was for 13:20.

When I went in he asked immediately "How many pads a day?" I replied "I've been off them by day since July 4th and, by night, since June 24th. He said "My God, you're doing very well!" He then said "You're not getting erections yet, but don't worry, they'll come." I told him I'd done up a (one page) sheet outlining my progress. (While I've detailed some of my (intimate) bodily functions on the blog, I'm not going to go into any detail regarding sexual function/activity, however I will outline some of it)

I have been experiencing (unfirm) erections and had been concerned that I wasn't making enough progress - I'd intended asking him about it.

He read the sheet and said "You shouldn't be getting any erections yet. You DO know what I've done! I've taken one complete nerve bundle!" I asked how long I'd have to remain on Cialis and he responded "Until you get spontaneous erections." I asked when that might be. He said "Soon." .....and I'd been worried that I wasn't making enough progress!!

I asked what I could do in the area of exercise. He said "Anything you want!" I asked "When can I consider myself recovered from the surgery?" He replied emphatically "Now." He reckoned that the two UTI's weren't what they seemed to be, but didn't say what they might have been, and I didn't think to ask what he thought they were. I gave a urine sample and also a blood sample for PSA.

Overall impression: Boy am I doing well!! D is very relieved.

Wed 30th July - Sun 10th Aug

I haven't updated the blog for over a month, for several reasons; we were away on holiday in Portugal for nearly two weeks (Badly needed and the weather here was brutal while we wre away, so it was just as well that we went!), I've been building and filling out a race results database for the club ( www.eagleac.net ), procrastinating and various other committments.

Wed July 30th

Regular 5 mile walk.

Thurs 31st July
Rain all day, so didn't get out for my walk.

During the night I started to pee, but woke up before I got too wet.

Fri 1st Aug
D & I went to Kinsale to watch the Kinsale Regatta 5 Mile road race and to walk around the picturesque town.

Blurry photo of Kinsale harbour.

I took quite a few photos of the race, many of which turned out blurry. Photos can be seen here: I probably should have realised that I was not quite myself at this stage, making photo errors. After the race was over, I felt a strong urge for the loo, but passed little.

Sat 2nd Aug
Slept badly and woke with a headache and muscle aches. I saw Dr. P. in the morning. He dipped a urine sample and found antibodies. He diagnosed anothere UTI (urinary tract infection) and prescribed Velosef 500mg.

Sun 3rd - Wed 6th Aug
Regular 5M walk each day. Took more photos at the Novartis 5k in Ringaskiddy.

Thurs 7th Aug
Rained all day, so no walk.

Fri 8th Aug
Walked 5M in the morning. Went to the streets of Cobh 5k and took more photos. After the race, I tended to leak a little.

Sat 9th Aug
Regular 5M walk.

Sun 10th Aug
Only managed 3.5M today, having cut short due to rain.

Saturday, August 9, 2008

Fri 25th - Tues 29th July

Fri 25th July
Walked 5 miles today. Legs are a bit sore today, especially my shins, after last night's race.

I got the UTI test results back today - no sign of infection.

Sat 26th July

D & I walked by the Castle today, going around the full 5 mile loop in approx. 81 min ~16:20 pace. It was good, but not as strong a walk as previous days. Probably no harm. I did have one or two very slight leaks during the walk, mainly due to "carelessness"

Sun 27th July
Went for 5 mile walk in the morning. Afterwards jogged in the back garden for approx. 7 minutes. No problems, but it was a slow(ish) jog (- garden isn't huge).

Mon 28th July
Walked 5.5 miles

Tues 29th July
Walked 5 miles. Had a one of my "Mega Sneeze" episodes today but stayed dry throughout, without the slightest tendency to leak throughout. I get these sneezing bouts periodically. I always dread getting them while driving!! This was the first set I've got since the op. It was good to find that I held tight during it - great for confidence!

Fri 18th - Thurs 24th July

Fri 18th/Sat 19th July
Feeling quite down as a result of yesterdays phone call, nevertheless walking away anyway.

Sun 20th July

Our first grandchild was christened today. We all had a great day but it was hectic all day, so I didn't get out for my walk.

Mon 21st July

Walked again today, but felt very, very down.

Tues 22nd July

Managed to put things in perspective and am feeling much better today. Went for my walk in the morning. In the evening I went to the track for a chat/walkaround with the Eagle AC club members.

Wed 23rd July - First Run Since Operation!

I went to "The Farm" this evening. Walked a "lap" in 38 min. On the second lap I repeatedly jogged for a minute and walked for two minutes. I did this 6 times. Before I finished the initial walking session, I went for a "leak" in the bushes and tended to leak after this, ending up quite wet during the jog. I'll need to do a lot of stomach exercises before I run again.

I drank two large glasses of "7 Up" - it's like "Sprite" at tea, shortly before going to the Farm - that wasn't very clever at all!!

Thurs 24th July - First "Race" Since Operation.

I went to Churchtown South this evening. If you follow the link, you'll find me a distant last on the result sheet, a full 47:25 behind my best time for the course. It was probably mad going, but I haven't missed this race since first running it in 1986.
I walked the entire course, taking photos en-route (it is a two two lap course). I felt good and had no bladder problems at all, in spite of the strong pace, mostly sub 15 minute miling. I took a lot of photos during the last mile (for everyone else - I was still in my second/third mile).


This was my view after approx half a mile - the "pack" disappearing the distance, approx. half a mile away. The camera is on maximum zoom!

Fri 11th - Thurs 17th July

Fri 11th July
Walked 5 miles. No problems,

Sat 11th July
Walked 5 miles in the morning. In thge afternoon we went to the Cork City Sports.
Normally I like to roam around the spectator areas around the arena, socialising and networking, however this year we stayed in the stand, enjoying the competition. I took some photos



Sunday 13th July

Went for my regular walk, but it started raining heavily, so I turned for home. By the time I got close to home, it had stopped, so I continued on and ended up with 4.5 miles.

Monday 14th July

Woke at 05:00 to go to the loo, but couldn't get back to sleep again. Got up at 07:30 and went for my 5 mile walk. I'm now walking at sub 16 min/mile.
For the first time, I've felt really, really good - feeling like "normal". I felt like I could have gone for a run.

Tuesday 15th July
Woke at 08:30. Didn't go to the loo until 09:30, after breakfast, so, last night, I went 10 hours without trouble. Following my urinary tract infection over two weeks ago, I'm submitting a mid-stream sample for analysis. This will be sent for tests.

I asked the doc about resuming running, stretching etc and got an emphatic "No! Not until after at least 12 weeks!" He doesn't even want me walking "Gentle walking is OK". I'm not happy with this, but my O.H. is still very concerned about me, so I'll keep everyone else happy. A few more weeks rest won't do any harm. I am certain, however, that, given my progress, the lack of specific exercise is now holding back my recovery.

Wednesday 16th July
Walked 5 miles at 16:15/mile.
For a while fter tea, tended to leak a lot.

Thursday 17th July
Went to town for a "bazzer" - Cork parlance for a haircut. We went by bus and had lunch in town. We went for a walk together after a light tea. i tended to leak slightly during the walk - more than I had been. I find that I do have a slight tendency to leak in the early evening.
I got some "unhelpful" news today - not a medical issue. This depressed me somewhat and I wasn't in great spirits over the next few days.

Tuesday, July 29, 2008

Fri July 4th - Thurs July 10th

It's been nearly four weeks since I update the Blog. I'm still around and doing things, but the Blog hasn't been high on my priorities - Must try harder!

Friday 4th July
Went to G.P. for RTW (Return to Work) certificate. He strongly recommended against ANY running for the next 4 to 5 weeks. He's also against any stretching. I'll try to keep to that - have to keep the Higher Authority happy! I was taken aback with his demeanour - I don't think, even after attending him for nearly 30 years, that he appreciates the level of fitness still, even after the surgery, retain. When he heard I was walking 5 miles, he wasn't very happy.

I suggested going without the pad during the day and he agreed. I feel that I've been somewhat dependant on the pad as a "safety net" and probably could have dropped wearing it about a week ago. I'm to bring a mid-stream urine sample along on Tuesday week, two weeks after finishing the course of antibiotics, and he'll send it for testing. I asked about doing a PSA test prior to my visit to the surgeon on august 11th and he said to wait and let the surgeon decide.

I stopped wearing the pad immediately after I got home and stayed in for the rest of the day, as a precaution.

Saturday July 5th

Walked 5 miles. No pad, no problems.

Sunday July 6th

Walked 4 miles of my intended 5 miles but it started to rain and D came to collect me in the car.

Monday July 7th

Went for 5 mile walk and dropped into my Physiotherapist en route. We spoke about my requirements and shee is to work out a program and contact me. She is of the same opinion as the G.P. about resuming running. She dooes feel, though, that I'm over the surgery long enough to start some physio work.

Tuesday July 8th
Walked 3 miles of 5. Had to cut short due to drizzle/rain. D & I went into Cork for a little bit of shopping. This was my first time out in (sparse) crowds. No problems.

Wednesday July 9th

Walked 5 miles in the morning. In the evening, I went to the EMC 5k race to take some photos and meet some of my running friends again.

The lead group coming up the hill for the first time, after about 1k.


Sean McGrath comes in to win the EMC 5k

Lots of people welcomed me back. At the hall, after the race, I drank several small cartons of orange (between 21:00 and 21:30). This is probably the latest I've drank anything since the cathether was removed. I tend not to drink much, if anything, after 19:00, to ensure that I don't have to get up during the night. Anyway, I hadn't any problems. This was also the longest I've driven since the surgery. It was only about 20-25 miles round trip, but I didn't have any problems. I had been warned that brakeing might cause leakage, but I didn't have any.

Thursday July 10th
Walked 5 miles with D. I'm now walking at sub 17 minute/mile pace. I had a tendency to micro-leak today, but it wasn't a significant problem.

Thursday, July 10, 2008

Sat June 28th - Thurs July 3rd

Saturday 28th June
Woke 07:00, having worn pad since 03:00. It was OK with, maybe, a small amount of leakage. I was feeling much better than Friday. I tended to leak every so often - maybe the residual of the infection, general tension or maybe a loss of confidence. I was going to the loo about every two hours, with no sign blood in my urine. I slept from 23:00 until 07:00, wearing a pad as a precaution. There was little or no sign of leakage.

Sunday 29th June
We went for a walk at Blackrock Castle - 4.25 miles. I tended to leak a few times, mainly from tension - I'll have to relax more! The leaks were like squirts, maybe a teaspoonfull. I think I am "holding" my middle and either relax, lose concentration or get distracted. I think this is holding me back. I went to bed at 22:30.

Monday 30th June

I woke at 03:00 and again at 05:00 and 07:00 to go to the loo. i passed a fair bit each time. I also tended to leak during the night, mainly "squirts". Second thoughts on the "squirts" is that there may actually be an improvement after all. Where previously there may have been an "oozing", I am now getting a positive shut-off. We walked 5.25 miles today. It took about 80 min. I tried to count the squirts en-route - maybe 6 in total but not bad. I rested up for the rest of the day.

Tuesday 1st July
Bad weather all day, so we didn't get out for a walk. Slept for 6.5 hours - no problems and no pads, but woke at 05:15 to the sound of very heavy rain. i tended to squirt during the day Probably due to tiredness. Not bad though.

Wednesday 2nd July
Slept all night, no problems. It was raining for msot of teh day, so we didn't get out for a walk again today. I reckon I'm feeling much stronger.

Thursday 3rd July

I slept for 8.5 hours. I woke from a heavy sleep with the beginnings of a leak and a full bladder. It was only just starting and I had been fine until then.

Today I went for my first long walk unaccompanied and did 5 miles without any problem.