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Re: Return to Tri after Stroke [Duncan74] [ In reply to ]
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Mixed week this week, generally felt tired and seemed to be busy all the time.

However, have managed to return and do all my squad swims this week, and I did a technique session with my coach. I'm not kicking and that was why I was struggling a bit. It's my right knee I'm letting go with, and not keeping it straight and kicking from the hip as I normally would have. That matches with when I'm walking too - but over the week both of these have made progress.

And got the GP approval to start driving again. He also said I can go back to work, but only 2-4 hours a week, 2 or 3 non-consecutive days a week for next month. So mixed feelings, on one had happy to be going back, but also am now seeing some of the cognitive symptoms alongside the physical control side.

In the first few weeks I needed to mentally have the mindset that I can work through all the rehab, and get back to 100%. In this last 2 weeks I've benefitted from a 'pragmatic' mindset of aiming for 90% and accepting some things will be different.

I've tried a few 'runs' either with my PT or when trying to catch a bus;-) Best way of describing that is 'jerky'. And a lot of this is that my right foot / achilles / ankle isn't really doing anything in a controlled way. I can do 3 or 4 heel raises but then it doesn't move, and I've no precioception of what the ankle is doing.

But I'm up to 1hour of 220w of zwift (not today, was toast after 45mins).

GP was very surprised at the 80mg of atorvastatin the hospital consultant put me on, especially as I was only just above the 2.0mmol target. But he said he wanted to wait for the 3 month bloods before reducing. I'm hoping then he will bring me down to a low dose and that will also result in a reduction of the breathlessness and shoulder ache.
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Re: Return to Tri after Stroke [Duncan74] [ In reply to ]
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Bit of a gap since last update, but lots been happening.

I've been back at work over last 3 weeks, albeit only 2hrs every other day. And that's been really hard. I can't believe the fatigue. And I've found by trial (and mostly) error that if I empty the tank then it takes several days to recover. So I'm needing to behave like an EV - lots of little journey and quick top ups, don't let the battery get to less than 20%.

And this has meant I've had to pull back my aerobic (ie zwift) as I was just too tired from work, the cognitive retraining, and the travel. But with the now less frequent zwift then the cadence (co-ordination) is back and I'm holding 90+ and peaking at over 100 which is way better.

Did ride the MTB outside, did a 40min ride, was exhausted then fell off as when I unclipped I had no control of my right leg. Sigh. Nothing broken just pride and hip a bit bruised.

But big news is that heart scan yesterday (TOE) showed I do have a PFO (basically leak between the sides of the heart) and so in next few weeks will get a dynaplug stuck in there (via femoral artery, overnight stay) which is fantastic news as this shows the WHY I had a stroke and also addresses the future risk. As far as I can tell then a few weeks taking it easy post procedure and then its green light.

So I can see a way forward, but also way way more realistic about the degree of impact the stroke has had on me. Still hoping this is mostly temporary and I can get most thing close to prestroke, but that is going to take months, not weeks.
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Re: Return to Tri after Stroke [Duncan74] [ In reply to ]
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Good luck. I just rode my 1st TT since crosswind blew me off the road at high spd and separated my right c-bone from my sternum last summer. Very lucky. Best wishes and ride on!

-U
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Re: Return to Tri after Stroke [UltegraSTI] [ In reply to ]
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Urgh, that sounds awful and I'm trying to put that thought out of mind for now. Wishing you well though, and hopefully if you are Northern Hemisphere then just in time for summer. At least I'm heading into trainer season anyway.


Slight update, got the full results of scan and referral and seems the PFO is fairly significant. ">.5cm and >30 bubbles in <3 beats". So High risk. Be interesting to see if after all this then I'm actually better than before this little fun.
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Re: Return to Tri after Stroke [Duncan74] [ In reply to ]
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Thank you for the updates. Hopefully, now they found the issue, they can fix it. Best wishes.

clm
Nashville, TN
https://twitter.com/ironclm | http://ironclm.typepad.com
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