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medical

Before I start I should write that I realise that given the state of the world that my ‘problems’ discussed here are small fry and I lead both a fortunate and charmed life.

Still I hadn’t written a blog in a while and I’d gotten to be an unfit fatty!

Undoubtedly 2019 was my worst year of running since I began in 2011 and that’s a sad thing to consider given how relatively well 2018 had ended. I can’t deny that there were moments were I believed that I was turning a corner but it turned out that each corner proved to be another slap in the face from a different assailant.

Now normally I fill my blog with tales of injury woe and there was some of that but this year was more complicated.

The move to Scotland continued and although the whole family was now safely north of the English border we needed to find a house to buy and this proved more challenging than we had initially hoped and I had perhaps naively assumed that I could continue with my rather torturous race schedule during this hectic time.

THE WARNING SIGNS & A FALL FROM GRACE
The truth was that I could not continue as I had before and I got a very early warning of this when I travelled 450 miles to run the awesome Vigo Tough Love 10 (and pack up the remainder of the house). I felt every last inch of the race in my legs and the cramp that nearly killed me at mile 9 was horrendous. This should have been a warning to me but my general excitement about being in Scotland amongst all of these nice new races meant I went a bit mad.

My second warning that things were not going to go well came at the start line of the Highland Fling, here I ran into Andy O’Grady – the man who saw me to the finish line at the Skye Trail Ultra. ‘You’ve piled on the beef haven’t you?’ he said casually – he was only joking around with me but for a man who has poor body image issues this was something of a blow. However, it was also confirmation of something I knew very well – the trips up and down to Scotland, the lack of training, the lack of running and activity, the over eating and the living on my own for three months had taken their toll on my body – I’d gotten fat and lardy, both mentally and physically.

The same day as Andy poked fun at my fatness I found myself in the misery of the 9hrs of heavy rain and an unpleasant fall on Conic Hill at The Highland Fling. I withdrew from the race about mile 35 – a little over a half marathon from the finish – I was distraught.

How far I felt I’d fallen.

At the checkpoint where I threw in the towel I could see the excellent Scottish runner ‘Rhona Red Wine Runner’ somebody whose blog I have been a big fan of and periodically chatted to via Twitter over the years. We’d never met but I’d become so ashamed of my performance and appearance that I hid in the corner of the room I was waiting in hoping she neither noticed or recognised me.

The injury from the fall was relatively easy to recover from but the mental side of it was difficult to get over, even though I was just about ready for it I pulled out of the Balfron 10km and pulled out of the Ultra Trail Scotland for the second time.

With the final house move the weekend after my Fling effort I began to  feel that I was simply pushing too hard too fast. However, rather than rest properly I decided that once the house move had concluded and my body had recovered a bit I gave it some welly and started training again, returning to ultrarunning with the relatively simple but challenging Ben Vorlich Ultra.

I found Ben Vorlich tough as my fitness was still somewhat lacking but there was an overwhelming sense of joy that accompanied it and I started to feel like I could make some progress ater successfully completing the race and so immediately went home and entered the Thieves Road which runs across the Pentlands near Edinburgh. Sadly on race morning I awoke with a terrible case of the Gary Gritters and this kyboshed my attendance – sensible as I spent most of the day on the toilet and given the temperatures recorded I would not have finished anyway.

Still I had the Ambleside 60 upcoming in early September and so I retained my focus and actually I managed to continue training once the illness had passed and although the Ambleside 60 was even tougher than Ben Vorlich I managed to get over the line. I was finally feeling something of a bounce and with an effective if unconventional training regime (running up and down the West Lothian Bings and hiking in the Ochils). I was beginning to feel ready but once again I was about to get a kick in the guts and one that would end my year.

During the Ochil Ultra my stomach gave me all sorts of problems and I was vomiting from early on, I managed to push on to about the 20 odd  mile point but as I came into the checkpoint I simply collapsed on the floor and lay there thinking about my latest failure – this year was being rubbish. I felt at that moment the least like an ultrarunner that I have ever felt, I felt like a failure and that the runner who had earned nearly 200 medals, 50 of them in ultramarathon distances was coming to the end of his running career.

I went home that day and ate Dominos pizza and probably quite a lot of sweet things, I felt rubbish, I was rubbish and from here the dark gloom that came over me felt very tangible. Every race from here to the end of the year was thrown into jeopardy by this running breakdown. Race after race started to be cancelled as I realised that I was never going to make the start line, never mind the finish.

Benarty Hill Race, The Yorkshire Three Peaks Ultra, The Rebellion and finally The Cheviot Goat – significant cost (best part of £500 across those 4 races and hundreds more spent on maps and kit for these events.

However, the money was less significant than the cost to my mental wellbeing.

As the days dragged on beyond the Ochil Ultra I found myself enjoying retreating to a position of rest that involved eating biscuits, playing with my family and catching up on movies I’ve been waiting to see for an absolute age. There was a need for a physical break after all our efforts over the last year and work was being brutal in the run up to a significant project launch so maybe this stoppage was something that was needed.

However, running has always been my release and is inextricably linked to both my mental and physical wellbeing – so was there going to be a price to pay? Something I should have given more consideration as I sit here writing this in January.

Racing had now dropped down my priority list, something that had not happened in all the years since I began ultrarunning in 2013. A nasty illness in November also came at the wrong time and when I had been considering getting back out there in order to race The Goat and meet up with outstanding ultra runner Ryan Flowers.

However, I was sidelined for the best part of a month in the run up to The Goat and had no choice but to withdraw in the days leading up to the event. Thankfully I recovered in time for the a first family Christmas in our new home and our second in Scotland and while this was very enjoyable and relaxing I realised that I had relaxed too much, I’d put on significant weight over the past year and I was hiding in baggy clothing and finding it embarrassing being me.

And even as I added cream to another coffee and opened another packet of biscuits I still was struggling and it was only when I realised that my new found laziness was affecting things like my breathing that I decided it was time to pull on the running shoes and get back out there.

MEDAL COLLECTION INSPIRATION
The sad thing is that my medal collection hasn’t been giving me any joy or providing the inspiration to earn more medals – it has simply become a historical record of achievement rather than a living breathing thing which grows and evolves.

When I lived in the South East of England I found that every time I ascended my steep staircase I was greeted by my medal collection, it demanded that I added more but now it doesn’t do this, it is a decoration – therefore I’m going to find a new home for those medals so that they provide the inspiration I clearly crave.

Perhaps several medals in quick succession will help to build the desire again or if not medals then at least finishes – the benefit of the T24 and the Falkirk 8hr is that they are both loops and so I can’t fail to finish – subject to completing at least one lap and the F50K is running around Falkirk which is pretty well known to me now and should be within my ability. I was planning on adding in a few shorter distance races on the in between weeks too – so ASK and I are off to Edinburgh to run the Winter Family Run (1mile). I may also  consider a couple of 5 or 10km distances too – just to hold the precious piece of metal in my hand and bask in personal success – believe me I know how idiotic I sound. However, I have long associated the medals with me being in a good place, even if the state of me as I first clutch a medal is pretty ruined!

ANOTHER RETURN?
Let me assure you it has not been easy to bother with another return. Scotland and it’s notoriously foul weather has been in full evidence over the last few weeks and yet I have still found myself throwing on my shorts and doing little bits of running that will form the basis of my training.

5km most days isn’t really marathon territory but it’s a start. There has been lots of elevation added across these short distance and as a family we are resuming hill walking at the weekends and enjoying the great Scottish outdoors that we moved up here for regardless of what the weather looks like.

It is slow going, very slow and I am both the fattest and unhealthiest I have been in years and I am not finding it fun but I am doing it.

I don’t really enjoy these periodic rebirths and the themes in them are, sadly, reliably consistent, which gives me caution when I pin my hopes on another go at getting fit and healthy. The spiral that I seem locked into perhaps require some form of significant event to kickstart me into action – something akin to a heart attack or a diagnosis of Type 2 diabetes. I realise that this sounds ridiculous but when you find that you can wake up regardless of your fitness and still force out 30, 40 or 50 miles and get the medal then the attitude can still afford to be, ‘well I can still do it’.

When I see social media material about Transformation Thursdays or Reframed Fridays or whatever these stupid names are I can see that there was a significant issue going on and that the person has done something about it – usually gotten fitter, cleaner, lighter, healthier. I’ve never quite managed to get to the point where the problems were so significant that the doctor or other person was saying, ‘listen mate you’re one Mars Bar away from ruining yourself forever’. That conversation doesn’t take place and so I find myself excusing my poor food behaviours and finding new ways to justify continuing them.

That is a difficult set of mental blocks to overcome and even as I write this I am struggling with it.

SECRET EATING
Those months of secretly eating Bernard Matthews Mini Chicken Kievs and Belvita Filled Strawberry bakes has not given me any joy – in fact these actions, this eating has made me very sad indeed. I’ve spoken before about over-eating, secret eating and the negative effects that this has but whereas before I was using running to combat it I’ve found that this time I was simply destroying years of work in bowls of processed and sugary treats.

It is a sorry state of affairs that I’ve been  secret eating food I don’t even want but at least I can admit it and hopefully now do something about it.

CONTROL & ATTITUDE
But I’m only at the start and I have yet to get control of the eating but at the very least I have enough control to be doing the exercise that can negate some of the impact of my foul food behaviours.

There is also the question of ASK, one I’ve mentioned before, my food behaviour should not be allowed to rub off on her and I am aware that sometimes I fail in this aspect of parenting and it is an area that I need to work on harder. Even if I can’t eat vegetables and fruit I should still be actively promoting these to her. In fairness she is not the glutton I can be and has a very healthy enjoyment of positive food choices – seeing things such as chocolate as a treat rather than seeing them as I do, as a food group that requires 5 a day.

The physical activity is also helping to get a better balance mentally – I feel more decisive and clearer in vision when I’m fitter and as I hiked around the delightful Falls of Clyde last weekend I could feel myself wanting to go further, be active and it was delightful – the trouble is that tonight’s running was torrid and tough – the battle is clearly only just beginning.

But control of my attitude towards health is going to be key to regaining overall control and ensuring that the enjoyment I’ve had through being healthy continues through my 40s and beyond. With control, will come the respect that my body deserves after serving faithfully for the last 42 years and in that respect I will create the kind of person I want my family to see.

I’m hopeful that I’ll finally make a decision regarding a recognised running club which I feel will offer a greater ‘herd mentality’. Being around other runners does provide a greater sense of purpose and direction, especially to me, and although it is not something I have ever done I feel it will create a support network I can both draw from and feed into.

My experiences with Parkrun, The London Social Runners and The Linlithgow Running Buddies all had lots of highs but ultimately none were quite the right fit for my running needs (although I retain huge respect for them all) and I feel the right running club would help keep me on the straight and narrow.

Sadly one thing that I did try to help inspire me was Strava. I had hoped that joining Strava would provide new local running connections but the truth is that it hasn’t – save for the lovely Fiona (hello if you’re reading this, nice to see you the other night) and despite my local area being full of runners and sporting types I haven’t found organic ways to make connections that might benefit myself and equally them. Therefore I have probably given up on Strava, though never say never and if you find my activities making their way onto your app screen – do think kindly of the fat bloke running around Falkirk.

SO NEXT NEXT…
This weekend brings me to the first race of the year at the Tyndrum24 – a looped 24hr event where I plan on going super slowly and super steadily and taking so much kit with me that my body shouldn’t have to take too much of a hammering from the conditions (lots of shoes, lots of waterproofs). I’d like to come out of T24 with around 50 miles completed – which might not sound like much but given that the furthest I’ve run since the Ochil Ultra is 7.5km then 50 miles sounds like a big ask. If I can achieve the 50 mile mark I’ll be very happy and this will hopefully give me something of a momentum launch into a busy year of events with the Falkirk Ultra following 2 weeks later and the F50K 4 weeks after that.

I really want the T24 to help me rebuild the confidence I am going to need to complete events such as the Loch Ness 360 and the Ultra Scotland 50.

Don’t get me wrong I don’t want to be fat, unfit or unhealthy – I want to be none of these things and I desperately want to get back to being a healthy icon for my daughter – who I encourage to be active at every available opportunity. As I write I find it amusing that this may sound like I consider 2019 to be an unhealthy nightmare and a waste of time but the truth is far more complicated than that – 2019 was actually a really very positive year filled with much joy and fun times.

As a family we have developed new facets – especially with ASK starting school and the move to Scotland has proved to be the kind of success I had hoped for – but there is room for improvement. New friendships to replace those we left behind will be important as we go forward and we must be keen to make the required amount of time in our daily routine to ensure we are getting the most out of this wonderful opportunity.

So what’s the plan?

Well there are the dozen ultra marathons which are a very serious consideration and I’ve entered things that I believe will be the hardest possible challenge given the level to which I have dropped, importantly though, with effort, I feel these are  achievable. I remain focused on smaller and inaugural events with the odd bigger event to remind me that ultra running events aren’t completely solo sports.

Tyndrum 24, although my first event back is more than a warm up as I’ve said – this will be the launch pad and building blocks that may make or break the rest of the year. I’ll be following this up with the 1 mile family fun run in Edinburgh where ASK and I will attempt to drive her mile time down even further and I do love running with my daughter.

Then we hit the main thrust of the year from February until the end of July I’m goin g to giving it full throttle, The Falkirk Ultra and the F50K followed a few weeks later by the Peninne Bridelway in what will be the first of the Ranger Ultras Grandslam (assuming I enter) then another 4 weeks before I take to the Southern Upland Way with GB Ultras and then around 4 weeks further before the years longest ultra around the new Loch Ness 360 trail. Less than 3 weeks later I’ll be towing the line of the John Lucas Memorial, which as a more tarmac ultra could be an unmitigated disaster given my relationship with tarmac races and that’s just a few days before spending 3 (hopefully) awesome weeks in Canada, travelling round but also racing the truly awesome looking Quebec Mega Trail (only the 15km but still a first Canadian race seems like the only sensible thing to do) and then when I touch down I’ve got a few days before I’m back in the saddle for The Run The Blades 50km – I suppose something of a warm down compared to the rest of the events in the run up.

Thankfully the summer months are spent in training mode rather than racing as my body hates August and I seem to have a curse regarding races that happen in August so I’ll be skipping this before the winter tests come with the three remaining grandslam races from Ranger Ultras and a first crack but second entry to The Cheviot Goat.

I feel its an unconventional race list, there are no marathons, no big city events, no events that most runners will have heard of, it is a list of grim sounding races filled with elevation or shitty weather or shitty course conditions. It is a race list from someone that wants to get back to running, get back to racing and get back his self respect.

  • January: Tyndrum 24 (24hr loop) (Entered)
  • February: Edinburgh Winter Run (1 mile) (Entered)
  • February: Falkirk Ultra (8hr loop) (Entered)
  • March: F50K (50km) (Entered)
  • April: Peninne Bridelway (57km)
  • May: Ultra Scotland (54 miles) (Entered)
  • May: Loch Ness 360 (80 miles) (Entered)
  • June: John Lucas Memorial (46 miles) (Entered)
  • July: Quebec Mega Trails (15km) (Entered)
  • July: Run The Blades (50km) (Entered)
  • October: Yorkshire Three Peaks (100km)
  • November: White Peaks Trail
  • November: Dark Peaks Trail
  • December: Cheviot Goat (54 miles) (Entered)

The only way I’m going to get near completing these is with a plan and I think I’ve got the key areas I need to consider.

  • Stop overeating
  • Eat more healthily
  • Start running consistently
  • Run for longer
  • Run further
  • Finally pick a running club
  • Get to the start line of the races I have entered
  • Continue exploring Scotland
  • Work on body image issue

I’m clearly not going to fix all the issues any time soon, some are long standing issues that are deeply ingrained in me but as I suggested earlier it is about regaining control and that is something I have done successfully before. It is a very personal, individual experience and one that draws on my failings as a person, my own arrogance and my own falibility but now added to this is a sense of my own mortality. Nobody wants their legacy to be that they slowly faded away – so I’m going to try and not to.

I very much plan on building on the positive things that did take place in 2019 and try and reintegrate the things that worked well from my life before I arrived in Scotland. I am responsible for the mess I have gotten mysef into and by opening myself up to the scrutiny of my peers I hope to encourage myself to be the best version of me.

Best get on it. Adios.

I know I am getting on in years, in 2019 I will reach the ripe old age of 42 and it seems inconceivable to me that I’ll make it to 50. I mean I’m falling apart and my family medical history isn’t screaming, ‘welcome to long life’. Every inch of my beleaguered body calls to me daily demanding that I ease off or better still, retire.

Vitality

It seemed to me a good idea that I should sign up to things like income protection, life insurance, etc and for a number of years I had a rather unobtrusive policy that simply sat in the background presumably never doing anything other than waiting for the day I needed it. However, on a fine October morning my excellent financial advisor suggested to that I consider Vitality as an option. He said that given my lifestyle (outdoors and active) that I would benefit from the multitude of (ever changing) schemes and offers that they put forward. Plus the cover was mildly better, the premiums were mildly lower and it all seemed pretty sensible.

I signed up.

Now let me explain a bit about Vitality with its swanky marketing and how I feel after my first year of use and why I now avoid the doctor.

The marketing of Vitality is all about the benefits, earn a weekly coffee, get a nearly free Apple Watch, half price Garmin, get half price trainers, get cinema tickets and on the surface that seems lovely. However, it’s not that simple and the old adage is true, ‘there’s no such thing as a free lunch’.

The Experience

Upon signing up and downloading the app you fill in lots of information and connect tech that will support your collecting of points. This collecting of points determines your Vitality (premium) level up to and including Platinum. You are given the opportunity to submit health readings, take examinations, etc and have this data fed into the ‘machine’. Once the machine has been sated you are given a Vitality age and advised on the what’s best to do to be fitter and healthier.

So far, so fine.

It’s then that you realise you’re locked in and have to do the work to make sure that your premiums don’t sky rocket and that you reach the maximum level possible. Again this is fine, you’ve signed up for something and so you are committed.

As an iPhone user I took the decision to get the Apple Watch through Vitality to use as my fitness tracker. I wouldn’t normally have done this but Vitality refuses to directly support my plethora of Suunto devices. This was a minor irritant as the Apple Watch is absolute rubbish and I feel for anyone that paid for one of these things. Now as a reasonably fit and active person I assumed that reaching my daily goal of steps or activity would be pretty easy but I found that this wasn’t always the case.

The reason for this was simple I’ve often found the desire of active people to track ever last iota of activity they do to be a little tiresome and as such I’ve never been a numbers athlete, until three weeks ago I’d never even used Strava). The problem that this caused was that in the early months I would forget to track activity or I would only put the watch on half way through a day and this meant I was chasing activity, especially on days where I was not running.

This was clearly a mistake I was making and one that I rectified pretty quickly but it was made all the more challenging by the fact we were in the middle of the hardest part of our move to Scotland. I would often find myself stopping at service stations and trying to build up extra steps even as I was in the middle of 900 mile round driving trip.

The crux of it was, for me, that I was being driven regardless of my situation on any given day to HAVE to exercise or be financially penalised for it. I would run 60 miles in a race on a Sunday and know that this had the same value as the person who ran for 30 minutes and the real annoyance here was not the imbalance – not at all – the annoyance is that no matter what state I was left in I felt forced to put my running shoes back on and exercise the day after a race.

This left me in something of a quandary as I look back on it and rather than motivate me to exercise more regularly I felt disenchanted with the idea of ‘having’ to do steps or exercise or whatever. I found that rather than improving my wellbeing it was having the opposite effect – my mental well-being was suffering and I was committing to the bare minimum of exercise to get ‘over the line’.

This culminated in my effectively withdrawing from any of the real running training I would traditionally do and just do the thing that got me the 8 points the quickest. What was the result of that? Understandably, my ultra running suffered, races that should be well within my ability suddenly felt like trials and I began to fear racing.

The negative spiral continued, manifesting itself as comfort eating and I found myself gaining weight, battling my body image issues and struggling to motivate myself to do any exercise. It was a nasty place I’d managed to get myself in and I could not find the motivation to get out – I was also much more difficult to live with and the GingaNinja would note my anxiety about having, ‘not got that days points’ and then seeing me stuff a giant slice of cake in my pie hole!

I realise that I might be an extreme case but the promise of Vitality inspiring you to do more has had the exact opposite effect on me.

And then there is the other side of it…

Medical

So, insurance is insurance but what do you do if you have a problem with say your back? Followers of my ultra adventures will probably know that the last couple of years have been plagued by DNFs – brought on mostly by lower back pain during races. I figured it was something and nothing for a while and had extensive privately funded physiotherapy which helped to keep me running. The problem however, refuses to go away and I don’t feel like I can see a doctor about it.

The reason? Insurance!

I’m confident my back can be fixed but I’m also confident that Vitality and any future insurer would consider this a future exclusion – especially as I’ve seen the piss poor excuses given to refuse cover to other perfectly healthy potential customers. Given my relationship with Vitality has so far not been filled with joy I’m weighing up whether to remain with them and therefore I don’t want my back concerns to sit on my record. But that thought goes further I was genuinely concerned about going to the doctor recently to ask about changes in moles and whether I might have skin cancer – how ridiculous is that? Thankfully I decided to say ‘fuck it’ and get a potential cancer threat checked out.

Less life threateningly is the need to get my ten ingrowing toenails sorted, this too has been delayed by my wondering what impact this will have in the future and who will cover me if I do have them done. I mean my feet are valuable to me as an ultra runner (never mind day to day bimbling around).

Currently I can perfectly legitimately and honestly declare that I don’t have any diagnosis of any major problems – even if this 42 year old body feels more like a 72 year old – but the moment I do have a diagnosis for something insurances suddenly become more problematic.

The future

Now in my second year of Vitality, and having reached their highest status, I remain uneasy about this policy. My mental well-being the (perhaps) unintentional victim of the pressure Vitality applies took until very recently to start its recovery. I would hasten to add to there were other circumstances that contributed to this being a hugely stressful time but I am confident that Vitality was very much a significant part of it. Balancing my new life has very much helped and the Vitality issue does not seem as severe but it does still weigh on me and I do find it a disincentive to stay healthy.

As a note I should most certainly say I’m immensely grateful to my family who have been excellent in supporting me finding my own motivation again (mainly by signing up to a shitload of ultra marathons, despite the back issue)! Thanks guys.

This all sounds mildly ridiculous when you begin writing it down but I when I’ve discussed this with other Vitality users I’m realise I’m not alone.

I do want to be clear though I’m not writing this to decry Vitality, this is an example of a corporate monster putting a slick gloss (with freebies) on an otherwise rather dull product – and for some it will provide the incentive they need to sort their health out but there is another side to it. Vitality would probably argue that they are helping to beat the obesity crisis that the UK faces and doing it with carrot rather than stick, I simply feel that the carrot they’re using is rather stick-like.

Ultimately this is my opinion and experience of Vitality and all I would suggest is that if you’re considering some form of incentives/rewards based health scheme then ask all the detailed questions about the implications of it and how it will affect your current lifestyle.

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Does this look like a man with a heart condition?

Sometimes as ultra runners we are required to prove that we are fit to race, sometimes it’s enough to highlight your experience over a specified distance or terrain and sometimes it’s to prove that you have no health issues that might affect you on the course. I don’t have any trouble confirming that I can run distance and ice covered most of the available terrains now but there is a medical problem and has been since my idiot brother died about 6 years ago.

Let’s not bother with the sympathy about my brother, we did not get along, hadn’t spoken in years and when he died I really wasn’t moved by it at all. Why am I telling you this? Well because from the grave my brother haunts my running and this is how.

It was early 2015 and I needed to get my medical certificate signed for the CCC – I was just returning from a stint on the sidelines it’s some glute problems but this seemed to be working its way into the background. I went along to the doctor and asked if she would sign my mandatory form.

‘I see that your brother died of “heart complications” at the age of 29’ she said. It was here that I knew I was going to have some trouble, ‘and your father has some heart conditions?’

I confirmed that both of these were true but that my brother died because he lived on frozen pizza, beer and a range of unhealthy activities that ultimately lead to him dying young. My multiple marathon running father I explained had developed relatively minor heart problems in his early 60s but was still hiking and running to a reasonable level and had even completed large swathes of a 96 mile walk less than a year previously.

‘You’ll need tests,’ she said and with that sent me on my way.

I assume I’m going to die pretty hideously, a bus smashing into me, falling off a cliff edge, one of the nastier cancers and I’ve always been okay with that because I’ve not waited for life to find me – I’ve gone out and found life. I’ve fought to have my life and in my opinion I’ve earned it but I’ve always said that when my time comes then my time will have come and I don’t need any forewarning.

This doctor wanted me to have forewarning of any health problems I may have, what she failed to realise is that death doesn’t scare me, I’m into making positive life choices that aren’t determined by the boundaries set out for you.

However, she wouldn’t sign the form without the tests and so they ran a decent set of tests and told me to give it 10 days. Turns out, despite abusing my body for years doing all the things I’ve done, I was fine.

Signature, medical certificate and stamp acquired.

With those I disappeared off to the CCC. This same certificate covered me for the SainteLyon as well but had run out by the next time I needed one.

I assumed that it would be a fairly simple process to get a second one signed. Roll up, pay the fee, get the certificate, run. This was not the case. I was told that not signing my medical certificate was not about me, but about the doctor – he didn’t want to be held responsible for approving someone with a heart condition to race.

I don’t have a heart condition

He cited Fabrice Muamba as the reason why – the footballer who collapsed in a game between Tottenham and Bolton. I explained that the echocardiogram he was insisting I have would be no were near the levels of medical care that a professional footballer received, therefore surely we should consider the other more relevant evidence. He stood firm that he wouldn’t risk his career on a man whose family have heart problems.

Bellend

My immediate thought was to go out the car park and take my fists and the rocks liberally littered around the place to his Mercedes but instead I settled for shouting abuse at him from outside the surgery ‘useless cockbag’ and ‘cunty features’ were certainly issued. The truth is that had he looked at me at all he would have been able to see that I was in no way up to running. I had limed into the surgery as I’d injured my calf pretty badly the week or two previously and I’d put on weight after my retirement. Both of those alone should have been enough to disqualify me from running but no he used the ‘family heart problem’.

I went home and resolved the issue. I signed my own certificate and produced my own stamp – the benefit of being a graphic designer – then I submitted it.

About three weeks before the race start I received my echocardiogram date and of course I went because otherwise I would struggle to get a medical certificate anywhere. They prodded and probed my like I was a lab rat and I lay there angry that I was going to be given information I really didn’t want either way. I’d also missed the cut off for submitting another less fraudulent medical certfiicate and so I was feeling a little down when I left the hospital.

The hospital told me to call my doctor in a day or two. I did so and I did so for a further 12 days until the receptionist said, ‘I’m afraid I can’t discuss this with you, the doctor will need to see you’. By now I was the kind of fucked off that I reserve for those times in my life that I’ve actually had to hit someone and I responded rather curtly, ‘that is unacceptable’. Little Hitler told me the doctor would call me, I said that would be ‘acceptable’.

I don’t sleep well at the best of times but I really didn’t sleep well that night and spent much of it wondering if I would get to see UltraBaby run her first ultra or even her first 10km. I could hear the sound of my heart, I was listening for anomalies and I was replaying in my head over and over the letter of complaint I was preparing.

At 9.07am the doctor called, ‘You’re heart is as strong as an Ox’.

I assumed that was a good thing.

And so in theory I should be clear to have my medical certificate signed for the Madeira Island Ultra Trail and I know that the doctor was only doing his job, attempting to give me peace of mind while at e same time sating his own appetite for security that he was sending me to my doom in the best possible health. The problem for me comes in that I didn’t want to know whether my heart was healthy or not, part of me likes that idea that one day on a trail or a mountain somewhere I’m just going out drop dead and yes that possibility still very much exists but not so much from my heart failing me.

Ultra running and my health are deeply connected but I like to face them as an unknown – too much knowledge really can stifle you and in my case at a time where I am trying to up the ante this medical drama seemed pointless, I don’t feel better for the information that my heart is strong, I feel like something has been taken from me.

I know that the response to this I will receive is that the doctor was simply doing his job and I can accept this but his rationale was way off, he didn’t appear to adequately take into account my experience, training or my own lack of health issues. When I pressed him about the 40+ other marathons or ultras that I didn’t need a medical certificate for he seemed disappointingly nonplussed, he admitted he was covering his own arse and that says a lot about the way the world is these days.

Perhaps we should all be able to take a little bit more responsibility for ourselves and then I/we won’t run into a chain of red tape that was more about filling out forms, crossing ‘t’s’, dotting ‘i’s’ and avoiding legal action than it was about my health. Humph.

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