All drugged up to go outside

Beat and I planned to hit the high country on Sunday. I was excited about this, but oddly nervous, given the plan was a half-day hike on a non-technical trail. "Thirteen thousand feet? I wonder how that's going to go."

In the morning I gulped down coffee, then continued the self-medication with two Aleve for my hand, two Claritin for the horrendous grass pollen season, full-body coverage of SPF 50 sunscreen paste with so much zinc oxide it doesn't rub in, and since the high-altitude UV barrage charred patches of skin that I missed last week, another sweep with sunscreen spray. Arm sleeves, body lube, bug dope just in case. Frozen water bladder, buff (snot rag), hat, sunglasses. Rigid arm brace to protect my still-healing wrist in the likely event of falling, which has happened in 25 percent of my runs since I had surgery a month ago. Finally, one hit of the inhaler for pre-exercise airway prep. More inhaler hits were sure to follow later.

Sometimes I miss those carefree days of winter when all I have to do is put on a coat to go outside.

 Beat and I are not good at alpine starts. Terrible, actually. I realize that once monsoon season hits we'll need to be up at 4 a.m. to visit the high country. But for now, the weather is very forgiving of our habits: Ambling out the door at 8:30, getting stuck behind a train, and finally hitting the trail after nine. Our objective for the day was James Peak from the Moffat Tunnel trailhead, gaining about 4,300 feet in 14 miles round trip, topping out at 13,300 feet.

 The weather was nearly perfect — on the warm side at 85 degrees lower on the route, but breezy and clear above tree line. I struggled a lot. Beat and I did a little running lower on the route, which was fun and felt good. But this hard respiration tipped my breathing over the edge, and I didn't get it back. I wheezed and walked slowly from that point on. Another tipping point came after crossing below a raging waterfall on a sturdy but narrow and rail-less bridge. Whitewater is a strong phobia for me, and the rather benign crossing ignited panicked hyperventilating, from which I couldn't recover. I was dizzy the rest of the way up the peak, teetering on narrow switchbacks and leaning on boulders. It was all so beautiful, but I was so frustrated.

 These types of experiences are difficult to reconcile. Can't I just be happy about getting out to an incredible spot on a perfect day? Standing on the Continental Divide and gazing out over hundreds of miles of rugged beauty? Eating a pastrami sandwich in the sunshine and laughing at marmots as they watched us ruefully? I am happy, but I also need to acknowledge my health frustrations as well.

I'm now one year into this "asthma" journey, and beginning to swing back to suspicions that I do in fact have chronic — if hopefully seasonal — asthma. I was sick most of last summer, had a resurgence of lung strength from October to December, experienced a relapse in January, and then went on daily medication from February to April. Since nobody wants to be on daily medication for the rest of their lives, my asthma doctor in the Bay Area recommended going off the maintenance inhaler after moving to Colorado (she also strongly recommended getting allergy tested in Colorado and starting allergy shots based on the results.) Currently I feel like I'm slipping back into uncontrolled asthma, so I'll need to confront that. I have 14 days' worth of medication that I saved for this scenario. I plan to start a two-week trial after I return from a friend's wedding in sea-level Portland — so July 5. If I see improvements after those two weeks, I will make a bid to stay on the medication. Either way I need to find a new asthma doc here in Boulder. Even more than the thought of taking daily medication, I hate the idea of having three different types of doctors who I see on a regular basis (though hopefully I'll be able to walk away from the hand specialist soon.)

Another aspect of my health that I need to work on is my attitude. I do become frustrated, but it doesn't have to be that way. Although James Peak was incredibly scenic, perhaps my favorite run last week was a solo outing on Winiger Ridge, a nondescript trail above Gross Dam Reservoir. This was one of those runs where I had no real plan for the day. I was exploring. So it didn't matter if I sucked, or if I couldn't keep up with Beat, or if I ran this one segment significantly slower than I was able to run in April. Happily I jogged along county and forest roads until I came to a ribbon of singletrack along a broad ridge, so I followed it. The sky was cloudy and there was a strong breeze, so heat and pollen were both subdued. The trail spent most of the time in forest, but occasionally popped out into meadows with yellow wildflowers and mountain views. My breathing stayed in control, and I couldn't have been more content.

This reminds me of a proverb I came across while researching asthma: "Life is breath. He who half-breathes, half lives."

Only 86 days until autumn.