Muddy Obstacle Runs and Inhalers

Good morning!

I had a great question sent to me by a reader and wanted to put it out to you all to see if you could help her.

Liz wants to run a muddy obstacle race. She is wondering how to carry her inhaler, which she will need with her at all times. This type of race provides different challenges than just a road race. She will need for the inhaler to be protected from mud and water, as well as for it to stay out of her way on the obstacles.

I’ve never done a Tough Mudder but I have much respect for those who have. I’ve only done 5Ks and a Stair Climb that I loved/hated, so I don’t have personal experience with this one.

After some online research, I found some helpful discussions on runnersworld.com. Some ideas were to wear running shorts or skirts with pockets in the waist. It seems like it might poke at you but it could work. Also, some people use armbands to carry inhalers instead of phones. There are also runner’s belts that people use to carry gear like this one:

runnersbelt

Apparently, runners do use these on the Tough Mudder. I would still put the inhaler in a snack-sized plastic bag to protect it.

I wonder if a YOLO phone case would work? Paddle boarders use them for their phones and they are waterproof. Maybe you could wear it crossbody-style to keep it out of your way? I bought one from a YOLO store at the beach, but there are probably other brands you could find if you are not near a YOLO store.

drypakgreyphonecase

If anyone has any ideas for Liz, please leave a comment for her and anyone else planning to run a muddy obstacle race. Best of luck, Liz! Thanks for giving me a great topic to post on today and for inspiring all athletes who are beating asthma.

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Spring’s Sting

Oh, Spring. How beautiful you look through the window.

If you suffer from asthma and allergies, you understand what I’m saying. Everyone’s talking about how happy they are that Spring is here, but you are sniffling, sneezing, eyes watering, coughing, trying to breathe, and staying inside.

No matter how much medicine we take, it gets us at some point. Some springs are worse than others, and fall is even worse for us, but so far, spring has sprung and stung. That little twitch in your throat, the little cough starts, the nose starts itching…and you know it’s spring. Oddly enough, the thick yellow pollen that covers my porch and car and everything else isn’t as bad a problem as the aftermath. Right now, the yellow is less and less but my symptoms are kicking up. It makes no sense.

I’m less inclined to go for my walks when it’s like this. I’m less inclined to work in my yard. I don’t want to walk my dog. I don’t want to sit on my porch. And yet I need some vitamin D, right?! I do get jealous of those who don’t have to worry about it. I wish I could just enjoy my spring.

As a parent of an asthma and allergy sufferer, as well as a sufferer myself, I can at the very least understand what my son is going through. He’s already started weight lifting and conditioning for football season and next week, will start spring practice. This year it’s high school ball. Hard to believe it’s already here. He was sick last week with cold/sinus issues, which is never “just a cold” when you have asthma. He thought he could handle weight training and I let him go. When I went to pick him up, they were coming in from the field where they had apparently been running. I panicked. I knew he had trouble because it was a hot day for April and he was already having some breathing issues. I thought they were just going to lift weights so I didn’t worry. I didn’t see him come in from the field. I didn’t see him at all. Kids kept coming out and going to their cars but he was nowhere to be seen.

I was in a bad position. My Mama Bear mode had kicked in. I needed to go and find him, be sure he was ok. What if he needed to go to Urgent Care? I also knew that if he was ok, it would embarrass him to the nth degree because these athletes are young men now and mamas don’t just show up in the weight room. It’s a man’s world up in there. This is no longer the Rec Dept league where I can watch him every minute.

I gave myself 5 more minutes before going in. I assured myself that the coaches would look after him. I assured myself that he would know what to do and would’ve stopped if he needed to. I tried to have faith in him that at 14, he would know when to sit down. I fought my anxiety and fear and anger over my lack of control over the situation.

And then I saw him coming out. He was ok. Not great, but ok. He got in the car and said he made it through the running but had to sit for a while afterwards, which was why he was late coming out. He promised he would sit if he needed to. He didn’t know he would be running that day, either. But he did it. And then was sick the next day and the next and the next. Such is the life of an athlete with asthma in the spring.

I don’t know why it has to be so hard for him. It’s not fair, but we all have our personal battles and this happens to be his. And mine. He’s a fighter, though, and I’m proud of him. He loves sports, most of all football, and wants and needs to be physically active as much as possible. I will support him as long as he wants to play and will do what I can do to take care of him, which seems to be less and less now as he grows up. Luckily, most days are good. But when it’s bad, it’s really bad.

This episode did motivate me to set up a meeting with the coach to be sure we have a plan for him like we did in middle school. Most of his teachers and coaches in the past have been wonderful and cared about his well-being. I’ve also set up an appointment with our asthma doctor. I’ve been fortunate to have so many other adults in his life who help me help him. I have no reason to think high school will be any different. Communication and teamwork really is the key.

So, Spring: I for one have mixed feelings about your arrival. Your flowers are lovely. Your trees, gorgeous. Your sunshine, healing. I’m glad winter’s gone. We will get through this. We always do. At least the scenery is nice and the temperatures pleasant. Soon, we’ll be able to experience it without a window in the way.

Trial and Error

Asthma requires a great deal of patience. It is not an exact science.

The learning curve is steep and parents have to learn to research on their own in order to educate themselves on how to best handle their child’s illness. Working with medical professionals is crucial but parents must also learn to advocate for their children as they battle a chronic illness that has many variables.

I was diagnosed with asthma a few years before my son. The only good thing about having asthma myself was that I was ahead of the game, knowledge-wise. I knew what we were dealing with, I knew how it felt when he couldn’t catch a good breath, and I knew how important it was for him to take his meds every day. I always had an emergency inhaler in my bag for myself, so I always had it for him, too.

However, his asthma and my asthma were not the same. I had a lot left to learn. After allergy testing, we discovered at the age of 12 that he had food allergies. Suddenly, we were thrust into the world of wheat-free, tree nut-free, gluten-free…we went cold turkey on all of his allergens (wheat, tree nuts, beef, and lettuce), as I was terrified that food was making him sicker. We even tried dairy free, since dairy causes inflammation. It took hours at the grocery store just to find food he could eat. I was having to cook everything, since we were very limited on restaurants and prepared foods that were both gluten-free and tree nut-free.

We did what they told us to do. We even ate super disgusting gluten-free, dairy-free pizza. Only once. We tried soy milk and rice milk, and soy cheese, which is truly the most horrible concoction. We spent an obscene amount of money, because these specialty foods cost an arm and a leg, which is honestly adding insult to injury. Not only are you sick, but you have to destroy your budget, too! But when they tell you to do this, you do it, because it’s your kid, and even though he had never had an obvious reaction to any of these foods in 12 years, you want your kid to be well and you will do whatever it takes.

We also did allergy shots. He got a rash soon after, and the doctor was adamant that it wasn’t the shots. It didn’t go away, and on my own, I took him off the shots and the rash went away. I found a new doctor. I quit blindly following advice.

Around this time, I went to an allergist for my asthma. He enlightened me on allergy testing and how there are different methods (I had the intra-dermal kind after the skin test didn’t reveal anything. My son only had the skin test.) He mentioned that it was rare for a 12 year old to have food allergies, and that sometimes environmental allergies can present as food allergies, i.e. tree allergy = tree nut allergy, grass allergy = wheat allergy. I felt so defeated and so furious. All of that time, energy, and money I spent on his diet and the testing, when it may have been for nothing. He suggested I have my son tested again. Since we were still paying for the old test, as well as my current test, I said no. It cost me $800 out-of-pocket to be tested. And we have “good insurance.” He would have to wait.

I felt like an idiot, or worse, like I’d been had. I also felt very confused. I have a Master’s degree but couldn’t weed through all of the conflicting information. I had read books upon books, articles upon articles, joined Facebook groups…but because asthma and allergies are so inexact, I couldn’t say for sure that my previous doctor had done anything wrong, but I certainly suspect that they weren’t great.

Instead of racking up more medical bills, I found a new doctor who believed in taking traditional medicines along with alternative medicines (Epsom salt baths, supplements, Probiotics.) I decided to change our diet to more healthy, whole foods, less processed, more organic, less GMO, and more fruits and veggies. I cooked more and ate out less. We do still cut down on gluten and dairy during football season when my son’s allergies are at their worst, but otherwise, he eats a mostly (he is a teenager) healthy diet without going to the extreme.

Live and learn. Try and try again. If it ain’t broke, don’t fix it. So many trite expressions come to mind in regards to our roller coaster ride with asthma. I carry the epi-pen we got during allergy shots because I am still paranoid that he will have some reaction someday. It’s probably expired but it gives me an irrational sense of security. I also carry Benadryl in case he has a reaction. In the back of my mind, I still worry about those tests from 2 years ago. For now, we are doing our best and what makes sense to us.

This is just our experience. Food allergies are real and horribly dangerous and life-threatening to many children. We are fortunate that we have not had scary reactions to foods. My heart goes out to families that have to deal with real food allergies. But I’ve wondered how many people have been diagnosed with food allergies but have never had reactions. I wonder how other families handled this situation, and hopefully, they did better than we did.

My kid says sometimes, “remember when Mom made us eat all that weird food and we had that nasty pizza?” Like it was a “kooky phase” Mom went through, like when she was into knitting, or when she wore ugly Christmas sweaters back in the day. Ugh, parenting a kid battling asthma is never boring and often thankless but with patience, perseverance, education, and advocacy, we will get through it.

Athletes With Asthma: A Team Effort

When you have an athlete with asthma, you know it takes a team of people to help you fight and beat it. Obviously, you need a good team of medical professionals who will listen to your unique experience with asthma and advise you based on your personal triggers and symptoms. While asthma symptoms are shared by all sufferers, each patient experiences their own special recipe of triggers, symptoms, and treatments. Asthma medications can not simply be prescribed and left alone; they have to be tweaked, doses increased and decreased, new medications added at certain times of flare-up. Vitamins and supplements from that health section of the grocery store become a mainstay in different combinations. You may even find yourself in the Herb Shop buying all sorts of interesting items you heretofore had never known were real medicines to anyone but hippies. When you or your child has a chronic illness, you add anyone and anything that can contribute to your team.

Without the nurses, doctors, respiratory therapists who do the lung function tests, the kind office staff who treats you gently when you’re sick, and the unseen researchers who have made our lives better, we would be up a creek. If you do not have this kind of team, you must find one. Immediately. Not all doctors’ offices are a positive experience; we’ve been through some bad and some good and I’m here to say that I don’t know what I would’ve done if I had not found a good one. It has been a real journey. If you need help finding one, let me know in the comments and I am happy to help you.

Of course, as with any of life’s struggles, a good team of family and friends to support your athlete and you is a must-have. Your athlete needs interaction with other athletes and peers who have asthma who know what it’s like to feel like you’re breathing through a straw. He or she needs an understanding family who has their back at all times. As a parent, our job is often to build them up when it gets difficult. Many people look at an asthmatic athlete as weak or an inferior athlete because they have to sit out from time to time. I remind my athlete that he is stronger and tougher than most people realize because he has to play football in the summer heat in Georgia like everyone else, while not breathing at full capacity. If he wanted to quit, I would support him. However, since he wants to play more than anything, it’s my job to support him and help him and lift him up.

The other team essential to your athlete’s success includes the coaches and team managers. Unfortunately, I learned this fact the hard way. Asthma is a squirrelly little devil; it is unpredictable, which can lead to passivity, which can lead to serious problems. Sometimes you have to wait and see and hope for the best. Sometimes things go well. Sometimes they don’t. I made the decision to wait and see how he did with middle school football. Of course, I filled out the paperwork and disclosed his asthma condition. I regretfully chose to downplay it and not talk to the coaches before the start of the season to help his chances of playing. Knowing his triggers were grass, summer heat and humidity, and poor air quality, my mama 6th sense told me to check on him one awful summer afternoon, and sure enough, he was sitting out and having the worst attack of his 13 years. His lips were drawn, he was shaking, he couldn’t speak well…it was terribly frightening. The 13 year old managers were calling me as I was running up to him. The coaches were unaware yet of what was happening. (Football players don’t like to complain to coaches.) I grabbed him, got his pads off, he somehow made it to the car, and we drove to the Urgent Care. He used his emergency inhaler over and over, but it wasn’t until he finally cooled down a bit in the car that he could catch a breath. His lips relaxed. He got a shot and some steroids at Urgent Care and the wonderful doctor, an ex-football player himself, gave him a man-to-man talk about talking to his coaches and keeping them informed when he STARTED to have problems and to sit down THEN. My athlete listened. We were both scared straight and I knew then I had made a terrible mistake by not talking with the coaches ahead of time.

After that day, my husband and I met with the coaches and found the tough-as-nails head coach to be an understanding, kind man and parent. He made us feel that he cared about my athlete’s well-being as he would his own son’s. We made an action plan for cooling down my athlete inside when needed, the coach kept an inhaler in a toolbox on the bench at all times, and he had my phone number in hand if my athlete had an attack.

We all felt so much better afterwards. I became motivated to find a higher level of care and found it at Children’s Healthcare of Atlanta’s Asthma Center. Our asthma doctor, who actually is a nurse practitioner, just so happens to be a football mom and totally got us. She never said, “he shouldn’t be playing football,” which was my greatest fear. She said, “let’s get you fixed up so you can get out there and play.” Love it! There was even an  asthma magazine sitting on our table that had a very successful NFL player/asthma sufferer on the cover. It was definitely the right place for my athlete! After visiting the new doctor and tweaking our medication, he was able to play better and even start, with minimal asthma issues.

I beat myself up all the time over that decision to wait and see how football went. Parenting is hard. My husband and I joke and blame the hospital for never sending our instruction manual. Asthma is hard. Most days, you would never know my athlete even has asthma. Most days, he feels fine and even forgets to take his daily meds. He did fine at practice until that day. But then, spring arrives, or fall arrives, or it’s a code orange day, or you get a cold, and your asthma jerks you out of that lala land you’ve been living in and reminds you with a hard slap in the face, saying “I’m still here…[tongue sticking out]…and I’m never going away.”

I’m just thankful that my internal mama bear made me go out to that field that day and that he was okay in the end. I’m thankful that he has the courage and the tenacity to do what he loves despite the obstacles. I’m thankful that he and we have a team of people around us who take care of us and support us and love us. Dealing with asthma truly is a team effort, and without our team we would be sitting on the sidelines, or worse.

I would love to hear about your athlete’s experiences, and especially your decision-making (the good, the bad, and the ugly) as a parent of an athlete with asthma. I welcome all comments but if you are here to judge and not here to lift people up, then go somewhere else.

2-4-6-8, who do we appreciate?

Our team! Our team!

Gooooooooo, team!

Daily Antihistamines and Fatigue

What daily antihistamine works best for you or your athlete?

I’ve learned that everyone has a favorite or a least favorite. I’ve been advised by my doctor to switch it up if you’re on one year-round. I use Allegra during problem times (spring and fall) and have used either Claritin or Zyrtec during summer and winter. I don’t feel like Claritin does that much and Zyrtec definitely makes me more tired, but it works. Allegra seems to be the most effective and least fatigue-inducing.

Fatigue is definitely a side effect of allergies and asthma. The days before I notice having breathing issues, I get so tired — to-my-bones kind of tired. I hate being tired, especially when I’m trying to be sporty. It’s more than just end-of-the-day tired. It’s all encompassing and you just want to go to sleep. That’s usually how I know I”m about to have breathing issues. So to use a daily antihistamine that adds to the tired is not good for me.

The best bet is to be sure you and your athlete are getting to bed at a decent time. That is often easier said than done, with sports practices, games, and homework contributing to many late nights. Sometimes I schedule in some down time on the weekends, which can be challenging, but we all need to chill out and let our bodies and minds have a break. Drinking lots of water helps keep your airways clear and helps detox the body, which also will help to maintain energy levels. I am not a huge fan of drinking water, especially in cold weather, so I have started drinking a mixture of 1 part Gatorade to 3 parts water. I don’t like straight Gatorade and don’t want all of the calories, but just that little bit of flavor helps me drink more water and less caffeine during the day. Your athlete might like that mixture as well…I really think I should market it! I’m a Georgia Bulldog so I wouldn’t call it Gator Water…maybe Gator Hater Water? 🙂 Whatever you call it and whoever you root for, it’s delicious, hydrating, and healthy.

Here’s to staying hydrated this winter and fighting that medicine-related fatigue! Stay tough, athletes! Spring is not that far away…