Monday, June 23, 2014

Values, Roles, and Goals: A Strategy for Living


What matters to you? There are a lot of ways to answer that question. 

There are people who matter a lot to me: colleagues, clients, and class members at the Y; friends; family; the animals I know and love; strangers I meet. 

There are things that matter: bank account, car; running shoes, computer, favorite books. 

Activities I do matter to me: keeping in touch with people; going to work; exercising; acting; prayer and meditation.

Then there are the principles that I value. What are my principles? They are the answers to this question:
What kind of person do I want to be?

VALUES

Steven Covey, author of The Seven Habits of Highly Effective People asks it this way: If you could go to your own funeral, what would you want to hear them say about you? I've mentioned my core values before, but as long as I'm imagining my own eulogy, please, indulge my repeating them one more time:

Courage: The will to take action that makes life full, rich, and meaningful
Strength: The ability to act
Compassion: Authentic connections to others
Joy: A spirit of celebration, gratitude, and delight

That's my list. Your values will almost certainly be different. You might say creativity, honor, love, security or duty. There is a whole universe of choices. The idea is to drill down to your foundations and to choose the primary cornerstones upon which you want to build your life.

ROLES

Once you have a clear, simple list of the things that matter most to you, take a look at what you do each day. What are the roles you play? Some of mine are:

Teacher
Athlete
Artist
Friend
Steward
Cancer Warrior
Student
Brother
Son
Neighbor

You might have roles that I don't: 

Parent 
Manager 
Employer 
Pastor 
Spouse 
Healer 
Hostess 
Caregiver 
Advocate

 You can probably just look at your calender or think about your activities from the past week and come up with a dozen roles that you play. 

Now for the hard part. Prioritize them. Which roles engage you the most? Which are you passionate about? What are the three or four roles in which you could best embody your values? 

GOALS

Next comes what may be the hardest question of all:
What ONE THING you could do to make the most positive impact in this role?
That ONE THING is your goal, and finding it can take a lot of thought. It might be something that's never occurred to you before, but I find that my own goals are often things I've considered and dismissed in the past because they were too hard, too time consuming, or too likely to fail. Some will pop right into your head. Some might require several days of contemplation. Here are the roles and goals that are in my windshield right now:
  1. Athlete: Raise $10,000 for LIVESTRONG at the YMCA by running a marathon in 2015.
  2. Artist: Earn $100 from my writing by the end of the year.
  3. Friend: Have meaningful (preferably face to face), contact with another human being every day.
  4. Cancer Warrior: Don't miss a single class or scheduled appointment because of depression.

STRATEGY FOR LIVING

I have smaller, more tactical short term goals that are milestones on the road toward my larger ones. I've actually been putting these into practice for the past few weeks: 
  1. Get down to 245 pounds 
  2. Read and write for an hour every day. 
  3. Get out of the house every day.
  4. Make LIVESTRONG at the YMCA my number one work priority.
We all have a lot of responsibilities: pay the bills; keep the car in good repair; wash the dishes; pay the taxes. All are important, some are even urgent, but keeping our primary goals always at the top of the list helps us to make daily choices that increase the fulfillment and richness of our lives.

Shall I stop for ice cream? Or call in sick? Or take a nap? Or ask this woman out on a date? When faced with choices, I can use this simple question to guide me: 
Will this action help me to embody my values, or will it lead me away from them?
In future posts, I'll talk more about how these principles are helping me to manage my mental health and increase the quality of my life. But I don't think this way of thinking is only for people with OCD, depression, anxiety, or other mental disorders. I think it is a strategy for living that can be helpful to anyone. 

Peace,
Pennsy

Sunday, June 22, 2014

The Magic Mile

Meeting Jeff Galloway at the
2012 Iron Horse Half Marathon was
one of the highlights of my running life.
.
The Magic Mile is a keystone in legendary running coach, Jeff Galloway’s approach to training. Whether your goal is getting healthier, running a 5K for charity, or setting a new PR in the Marathon, The MM is the tool you use to benchmark your strength and endurance, and to set your goals. Here’s how Jeff explains it on his website, www.jeffgalloway.com:
  • Warm up with a slow one mile run.
  • Do a few acceleration-gliders, [short speed intervals, followed by easy jogging.]
  • Pace yourself as evenly as possible on each quarter mile.
  • Run about as hard as you could run for one mile – but no puking!
  • Keep walking after the time trial for 5 minutes.
Plugging your time into the calculator on Jeff’s site gives you your training pace, and predicted finish time for all the major distance events.  I’ve used it over and over again, and yes, it works. So yesterday, as the spring chapter of #reboot2014 came to a close, I decided to take my running pulse on the Legacy Trail.

The Synovial Capsule: Doc says Pennsy's is a little bit squished
First, a little background: I started training for a May 17th 10K race back in the icy days of late March. One morning in early April, after teaching a water fitness class, (the lowest of low impact aerobics,) I felt a sort of popping in my left knee. My 54 year old joints do the snap,crackle, pop quite a bit in the morning, so I didn't think much of it, but when I climbed up the ladder and onto the deck, the added gravity let me know this was no ordinary Old Guy noise. A mild ache started that morning, just under the interior side of the patella, and even now, sitting at the keyboard four months later, it is still there. I started treating it with RICE:  rest, ice, compression, and elevation. I even watched the Cats lose the NCAA final game to UConn with my leg iced, wrapped, and up on a cushion. But it didn't seem to get any better. My race training changed gradually from running to jogging to limping to walking. I noticed that low impact movement seemed to help, but the knee would stiffen painfully when I sat still, even for just a few minutes. I made it to race day for the sake of the kids I was mentoring, but have not run since then. Two weeks ago, I saw the doc. She took some x-rays and found a little arthritis and some compression in the interior capsule of the left knee. So the good news is there's not soft tissue damage and nothing requiring surgery. The bad news is that there isn't an easy way to make the pain go away. I'll be following up with the sports medicine clinic, but for the present, a painful knee is just going to be part of the deal for me.

Lexington's first Full
May 17, 2015
I was determined not to let pain stop my progress toward my weight loss goals for the year or my May 2015 Marathon, so I walked instead of running. I've discoverd some big differences between walking and running, which I'll be exploring at length in future posts, but the most practical difference is that walking takes a lot longer. I had been training at 11-12 minute miles. Each walking mile can take me as much as 20 minutes. On the other hand, I have a lot less time to snack. You can always find a silver lining.

I found that I felt much better after teaching in the pool or the exercise studio. Soaking in the whirlpool after a workout seemed to give comfort as well. I can't take a lot of aspirin because of the blood thinners I've been on since chemo/radiation buggered my platelets, but the folks who make acetaminophen are always happy to see me.I also bought a small heating pad for post workout recovery. After a month of this regimen, the pain started to lessen and I began planning for the Magic Mile I had on my training schedule. 

Here is how I planned the splits for my 4 mile training run:
  • One mile of brisk walking
  • One mile of 0:15/0:45 run/walk intervals
  • One mile run (The Magic Mile)
  • One mile of 0:15/0:45 run/walk intervals
I followed this with 30 minutes of deep water running at the Y, a 15 minute soak in the whirlpool, then I drove home for some OTC pain pills, a nap, and about an hour with the heating pad. 

How did it go? Better than I'd hoped. I ran the Magic Mile in 11:31, about 2 minutes slower than my personal best, but let's face it:  I am a long way from my best today. More importantly, I ran without pain for the first time since April. I'm not ready to run regularly yet: I calculated my training pace at 16:58, which is a steady 3.5 mph walk. This morning, the knee was stiffer than it has been in a while, but a 3 mile hike downtown and back made it happy again.

Eyes on the Prize: Raising $10,000 for LS@Y
Looking into my crystal ball, I see 14 miles on the schedule this week, which should be easy to reach. I'll be skipping the Independence Day Bluegrass 10,000 for the first time in several years, but still have hopes for the 5K Midsummer Night's Run in August. I wanted to have a couple of Half Marathons under my belt before May, but have not committed to any yet. My real goal for my marathon is to raise $10,000 for LIVESTRONG at the YMCA, and if that means saving my knees for one last long push, then that's what I'll do. I don't want to do more damage to my body; I want to be smart; I'm getting the best advice I can, and being very conservative. Dropping pounds can only help, and I'd like to lose about 25 more this summer. In future posts, I want to talk about how the pain is affecting my plans, my form, and my mental discipline

I want to finish with something my shrink is teaching me: pain is a part of life. The only way to live without suffering is to keep yourself numb: that's how an addict thinks, and I've seen enough to know that addiction is a doomed strategy. The key to living a rich, full, and meaningful life is knowing your values, committing to action that leads you toward them, and embracing both the pain and joy that are part of your life's journey. 

You can't obliterate suffering. You can't ignore it. But you can learn to accept it when it comes, to make room for it in your life, and carry it along with you as you travel toward becoming the person you want to be. 

And that's the thinking I hope can keep the Fat Man Running: at least for a little while longer.

Peace,
Pennsy

Sunday, June 1, 2014

To The Shadowside And Back

Tra-laa, It's May...
Maybe next year, I'll just take the month of May off...

I had a scare this week. A bad one. I came close to returning to the mental hospital. While my response to life's events had me anxious and depressed, my feelings at the prospect of being locked up again brought me to a point of despair that was both frightening and painful.

What triggered all this? It isn't easy to pinpoint a single moment or event. Actually, it's been several weeks in the making. Maybe months. Maybe years. I suppose it depends on how far back in time I want to dig. The judge's signature on our divorce decree. Funerals for cancer warriors. Frustration with my acting. A lingering knee injury that's kept me from training hard for weeks. Disappointment about romantic false starts. The loneliness of single life. Financial trials. All the way back to separation from Mrs P. If I chose to dwell on it, I guess I could touch every descending tread on the stairway of depression all the way back to my childhood, but swilling the sour milk of history only leads to nausea.

Whatever the root cause, the results were agonizingly familiar. Harboring self-destructive thoughts and engaging in isolating behavior. Missing work. Skipping exercise. Eating garbage. Disrespecting myself and others. I embraced all the miserable drama of The Shadowside. That's the name I've given to the dark region where I travel when I allow my depression to define me.I was determined to put an end to it this time, one way or another.

My research and writing set off on two separate journeys. On one path, I began seeking out the thoughts of others who knew the hills and valleys of The Shadowside: people whose pain led them to take desperate measures against themselves. On the second path, I explored alternatives to the therapeutic course I had taken so far. Drugs didn't cure me; therapy didn't cure me; was there another coruse that might lead me to freedom from my depression? As I picked my way along these two divergent paths, it became clear to me that I did not really want to end my life; I wanted freedom; I wanted to live without the chains of mental disorder. Hopeful research led me to something called ECT: Electroconvulsive Therapy.

One flew east and one flew west...
I remembered the scene in One Flew Over The Cuckoo's Nest, where Jack Nicholson has the electrodes clamped around his temples and is shocked into convulsions and stupor. My research taught me that the procedure has changed a lot since then. It is safer. There are fewer side effects. The seizures are only in the brain; there are no full scale convulsions.The patient is sedated. ECT can even be performed as an out-patient procedure. I latched onto the hope that treatment might be the cure I longed for. I scheduled an appointment with my psychiatrist, determined to convince him that my condition was serious enough to justify this dramatic measure.

I may have been a little too convincing.

After hearing about my mood, my actions, and my thoughts, he instructed me to check myself into the hospital at once. "Impossible," I replied. I have classes to teach. I have a play opening in five days. I can't simply fall off the map for a week. My reputation, which I have spent the past year rebuilding, will be destroyed forever.

"Come on, be serious," the doctor urged. He outlined the reasons I needed immediate hospitalization. "I will order the ECT. You can start tomorrow." Then he said he had no choice but to contact either an ambulance or the police to transport me.

I pleaded. "Let me talk to my therapist. Let me find another solution." The doctor agreed, and I went next door to make my case. In exchange for my freedom, I agreed to stay on my meds, schedule extra meetings, and to contact the shrinks if I felt any kind of crisis coming on.

Dinner, Balagula Theatre, May 2014
The next few days were torment. I missed all but one of the classes I was schedule to teach. I went days without eating. I stopped writing and reading. I stopped posting on Facebook. Rather than dwell on the voices torturing my mind, I slept. Two things kept me going: walking and the play I was rehearsing. I walked for hours each day, forcing myself out into the sunshine where I could at least see other people.I walked to the theatre and back home each night. I felt numb; emotionless. I didn't want to die; I didn't want anything. I only wanted to take the next step. To keep moving. To stay alive.

Even as I was struggling to save myself, God was sending ministers to me. A dear friend invited me to coffee. Mrs P wrote and phoned to check on me. Mom called, and sent me an email with information about how my insurance could help with treatment. I heard from someone whose friendship I thought I had lost forever. And finally, the play opened to wonderful audience response and received a very positive review in the paper. Even as I was preparing myself for the follow-up appointment with the doctor; the one that might very well send me into the hospital; God was flooding me with reasons for hope.

When I met the doc, I asked him to educate me about ECT. He gave me a lot of information. The most persuasive thing he said was that the procedure addresses only the biological causes of depression. It could not change my thoughts. It could not change my character. In other words, it could not change the way I respond to the trigger events that steer me toward The Shadowside. I made the decision. ECT electrodes were not the magic wand I was hoping for. I would not submit to the procedure. The doc affirmed my judgment, and we made a plan. Continue with the new meds. Continue with therapy. Check back in a month.

Since making the decision not to have ECT, I have experienced relief. I think I was afraid of side effects. ECT often results in memory loss, and I was worried that it would amplify the "chemo-brain' effect that I still have, years after my cisplatin treatments. But more than that, I think I was afraid that it might not work; that even after submitting to such a dramatic treatment, I might still be sick. I wondered how I might respond if the Magic Pill didn't work.

Along with the relief, I have experienced a renewed resolve. #reboot2014 continues. Until now, I have been focused on my physical health and weight loss. I have experienced great success and have lost 46 pounds as of this morning. Now I need to expand my attention to my mental health as well. The food I eat doesn't only affect physical energy and body composition; it also affects my brain's health and ability to function. More than that, the choices I make about nutrition, exercise, work, and leisure time affect the way I think about myself; they are expressions of my self respect. Like my commitment to my therapy, my life choices are expressions of my resolve to heal.

The Shadowside will always be out there, ready to welcome me back to the dark. And there will be times when I know I will stumble my way back into its dismal confines. The voice of my inner critic, the Toxic Passenger on my life's bus will always be around, whispering negativity and warning in my ear. Just as I had to renew my resolve to lose weight and run another marathon, I am now resolved to learn how to accept the hard times and to choose love instead of fear when they come along. I am resolved to express my core values, (Courage, Strength, Compassion, and Joy,) in my mental health as well as my physical being. I know I will fail sometimes. But I will succeed as well.

The sirens of The Shadowside have been tempting me for almost 54 years. They haven't killed me yet. Today, more than ever, I am determined that when Death comes, he will find me running in the sunshine, not hiding in the dark. #reboot2014 goes on.

Peace,
Pennsy