Rode to Recovery

[ornoth_cycling]

With Pæthos in the shop for a tune, this seems like a good time for a post-op update.

On March 7, I had a metal mesh plug implanted in my heart in order to close a hole between my two atria: a possible cause for my past and potential future strokes. It’s been seven weeks since the operation, so let’s review how my return to fitness has gone… And, of course, the prognosis going forward.

So grand... and living!

Phase One of my recovery consisted of 10 days completely off the bike. I had incisions into both of my femoral arteries that needed to fully heal before I could do anything as strenuous as walking, climbing stairs, or having a bowel movement, never mind cycling! I had tenderness and a sizable hematoma in my groin, and heart palpitations that mostly dissipated over time. After a few days I started doing short walks around the neighborhood, working up from 1,500 meters to 3 kilometers, but my athletic Fitness (aka CTL, or Chronic Training Load) dropped from a pre-op 56.6 down to 44.6.

During Phase Two, I got back on the indoor bike trainer. The only constraint my cardiologist had given me was to keep my heart rate below 110 BPM, which was the perfect level for me to keep up with one of Zwift’s “robo pace partners” at 1.5 W/kg: a mild but not sedate pace. I Zwifted for 13 of the next 16 days, steadily increasing duration from 15 minutes to 30, 45, 60, and eventually 90 minutes at a time. Being back on the bike felt great, but I wasn’t riding hard enough or long enough to keep my Fitness from continuing to fall to a low of 33.4. The tenderness ended and my hematoma started to fade, but I still had a few palpitations from time to time.

On April 1, 25 days after my surgery, my cardiologist gave me the green light to gradually resume all normal activities, doing whatever felt right for my body. And just in time, because Austin has been having truly glorious spring weather.

That was my signal to begin eagerly-awaited Phase Three: my return to outdoor riding, while gradually increasing both duration and intensity.

Distance and duration came easily. I started with a couple 90-minute rides, and over two weeks moved up to 2-hour 50 kilometer rides, then 3½-hour 80 kms. So long as I stayed below 90% effort, I could ride all day.

Intensity came more slowly. Between my own innate caution and continuing cardiac palpitations, I wasn’t very eager to push my maximum heart rate. So I avoided hills for a couple weeks before gradually testing myself on those inclines, where I reached ≈150 BPM.

Since I got back on the bike, I’ve ridden 29 of the past 39 days, totaling 770 kilometers, or an average of about 20 km per day. To my delight, my partner has already commented on the return of my “distinctive markings”: her terminology for my stark cyclist’s tan lines.

Aside from the joy of being back outdoors on the bike, seeing my Fitness numbers making upward progress has been really encouraging. Long outdoor rides have been vastly more effective than Zwifting in raising my CTL, which has climbed to a recent (but still tepid) 40.6.

But I’m still a ways from where I need to be for major events or even spirited group rides. And I’ll lose a little Fitness this week, while the bike’s in the shop.

However, all that riding has helped me begin to get clarity about what this summer’s riding might look like. My hope all along was that I could do my third 100 KM Fire Ant Tour in mid-June, and that I’d be able to do a creditable (if shortened) ride for my remote Pan-Mass Challenge in August. At this point, those look reasonably likely.

But if I continue to do well, there’s a chance I might be ready earlier, and could ride the Stampede on the Chisholm Trail, another metric century that takes place in two weeks, or two months post-surgery. That would be extra cool because it’s another local event that I’ve never done before.

It’s delightful being back out on the open road again, and looking forward in anticipation of upcoming rides!