Had my checkup yesterday along with the accompanying blood test and the good news is the infection is gone! Finally! I've been dealing with this thing (Prostate infection) since I first woke up with a fever back in October...blood in the urine, painful urination, loss of bladder control as the day went on.
A visit to the Urgent Care with a shot in the ass of a powerful antibiotic and a 10 day round of Cipro, known as the tendon killer. Not good for runner, BTW ;-)
Another follow up visit in November showed the infection was still raging, so another round, this time Bactrim to save my tendons...and at this time my PCP told me to make an appointment with a Urologist as he is the specialist with these problems. My PCP was not only concerned about the infection, but the possibility of cancer. (Notice I don't capitalize the word as my Mother had a double mastectomy (still alive at 86) and I lost a sister to the disease back in '95.
So I made my appointment with the Urologist and it was his opinion that cancer was unlikely, but that he wanted to do another large round of Cipro, which is the only antibiotic that can get to a deep infection like a prostate infection. So even with the possibility that I may rupture a tendon or tendons, I went on 21 days of 1000mgs of Cipro...a nuke, as my doc put it. During this time I also went ahead and ran a road marathon in El Paso (a total failure) and also the Salida Trail Marathon, another failure. During both races I did have achilles tendon pains, deep in the calf where it inserts, so didn't feel like I could or should push it. El Paso was too hot anyway, so I stuck with a low HR during that race to keep from overheating and overstraining my tendons. At Salida, I actually had tendon issues in my shoulders and achilles, so I had to run easy.
How has this affected my running? Not too good....I've been working harder, breathing heavier at a much slower pace. Lately my paces have been around 12:30ish, where several months ago I was cruising in the low 10's/upper 9's. The doc said how being on this much antibiotic and as powerful as Cipro is affects everything. It kills all your good gut flora and your gut is the center of your universe, mess with it and all sorts of things go haywire! If my PSA score was still above the norm, then I would need a prostate biopsy to rule out cancer. Needless to say I was sweating out going to the doc yesterday, but it was normal and am clear to move on with my life :-)
So to get back where I was I am now running pure Maffetone (120 BPM) until I start feeling my running coming back. No speedwork whatsoever. I hope this gets me in shape to finish the Zane Grey 50 miler coming up next month.
There's still the question of how this infection came about...it is very similar to a female getting a Urinary Tract Infection. My theory, and something I have mentioned to my doc, is that finishing the Hardrock 100 in July was my most difficult ultra yet, even harder than the Barkley fun run I did in 2001. I think being out on those trails for over 44 hours put my body into a deep fatigue and caused my immune system to get out of whack, thus I was open to illness. Add to that my late summer into fall marathon training schedule (yes, I'm a stubborn runner), there was not much recovery, even though I added in recovery days/days off, with the infection I should have been doing nothing!
I feel like I'm now back in control and like I said in the prior paragraph, it's all easy from here through Zane Grey and also after for at least a month. I then will start training for a 5K old man personal best. Eventual goal is 19:59, which may take me a year or more to achieve ;-)
See you on the roads and trails!