{"id":175,"date":"2009-12-02T22:10:10","date_gmt":"2009-12-02T21:10:10","guid":{"rendered":"http:\/\/simkin.org\/wordpress\/?p=175"},"modified":"2024-07-15T10:54:01","modified_gmt":"2024-07-15T09:54:01","slug":"cycling-is-bad-for-you-health","status":"publish","type":"post","link":"http:\/\/simkin.org\/wordpress\/?p=175","title":{"rendered":"Cycling is bad for your health"},"content":{"rendered":"<p>So I was asked if I fancied attending the Kent <a href=\"http:\/\/www.cyclosport.org\/eventdetails.aspx?eventid=2364\">Autumn sportive<\/a> on 8th November. 70miles looping around Canterbury and Ashford. It is cold but worth a go I thought. I knew I was unfit but was willing to give it a go.<\/p>\n<p>As it was, the day before had brought rain but the road was pretty dry so no real worries. I fitted my rear guard anyway to avoid the cycle &#8220;skid-mark&#8221; down my back and put on <a href=\"http:\/\/sportivephoto.thirdlight.com\/viewpicture.tlx?gsearchid=1259964863&amp;pictureid=11172935\">my winter riding clothes<\/a> including my never-yet-worn Northwave base layer:<\/p>\n<p style=\"text-align: center;\"><img src=\"http:\/\/simkin.org\/images\/arm\/base.jpg\" alt=\"\" \/><\/p>\n<p>It soon turned out that I had overdone it and was basically cooking my performance away leaving me trailing the other three guys. Not by much but enough to dent my pride.<\/p>\n<p>I managed to stick it out to the halfway stage and take a breather at the rest stop though so all good. We got mounted up and headed off.<\/p>\n<p>A little after 45miles, I came around a right-hand bend and hit something in the road (the bank, some leaves, pothole? no idea) but it threw me off balance. I remember pumping the brakes to try and slow down even though I knew I was going to hit the road. I steered (if you can call it that &#8211; hoped more like) towards a grassy bank just before a tree and the corner of a house I didn&#8217;t want to hit.<\/p>\n<p>I went down hard and skidded along the tarmac a short distance, shredding my handle bar tape and left overshoe. I stopped abruptly as my left arm smashed into a square open drain that was hidden from me on the road. My arm dropped uselessly into the cold water and I was lying on my side, still astride my bike. I kicked out of my pedals and attempted to get up. My left arm felt odd. Moving it was very very painful. It was not going to get me out.<\/p>\n<p>Luckily a passing motorist stopped to tell my friends that i was down. They turned around and came back to hear me shout &#8220;Get me out of here. Help me up.&#8221; This they did followed by banging on the door of the house for a blanket and the use of the telephone to get me in an ambulance.<\/p>\n<p>Those nice people also looked after my bike whilst my friends rode back to Canterbury and i went off to William Harvey Hospital in Ashford thanks to the wonders of gas &amp; air.<\/p>\n<p>Xrays showed that I had smashed my humerus into four pieces. They put a traction cast on me and sent me to a ward.<\/p>\n<p style=\"text-align: center;\"><img src=\"http:\/\/simkin.org\/images\/arm\/sling.jpg\" alt=\"\" \/><\/p>\n<p>Unfortunately they were unable to get the right plate to fix the bone. After two days nil-by-mouth waiting for the plates to arrive I discovered the surgeon would be unavailable for a couple of weeks too. It was optimistic to expect the plates to arrive before he left but we gave it a shot.<\/p>\n<p>The hospital provided copies of the x-rays so that my wife could run them over to an orthopaedic surgeon in private practice in Brentwood, where I live. He saw the x-rays and said they were &#8220;Nasty&#8221; and that it would take the facilities of a major NHS hospital such as Queens in Romford to deal with it.<\/p>\n<p><img src=\"http:\/\/simkin.org\/images\/arm\/broken.jpg\" alt=\"\" \/> <img loading=\"lazy\" src=\"http:\/\/www.simkin.org\/images\/arm\/broken2.jpg\" alt=\"\" width=\"457\" height=\"609\" \/><\/p>\n<p>I discharged myself and got a lift to Queens in Romford, walking in with my arm still in the cast and a potted summary of my injury and the proposed procedure complete with x-rays.<\/p>\n<p>The orthopaedic consultant described the injury to me and explained that the middle piece was actually broken vertically in two. &#8220;I know,&#8221; I said &#8220;it is nasty.&#8221;\u00a0 &#8220;Nasty is an understatement.&#8221; he said without humour.<\/p>\n<p>I was admitted into bay 5 in ward &#8220;Amber B&#8221;. The plates were obtained and after a few more days nil-by-mouth waiting for my CT scan results to show I had also damaged my elbow and for there to not be an emergency in front of me, I underwent just over six hours of surgery on Saturday 14th November.<\/p>\n<p>The surgeons broke my ulna to get access to my elbow and performed an &#8220;extension and internal fixation&#8221; using 3 plates and the necessary bolts, screws etc. They then repaired my ulna with a third plate and stapled me back together with 42 staples and four stitches at the top (just to be sure).<\/p>\n<p><img src=\"http:\/\/simkin.org\/images\/arm\/staples.jpg\" alt=\"\" \/><\/p>\n<p>After a day or so on morphine, the light physio started by way of simple finger wriggling exercises. A couple of days later it was a challenge to be able to raise my arm above my head and behind my back (elblow locked obviously) in order to keep my shoulder moving. I had to sit and sleep with my arm raised high to try and reduce the swelling.<\/p>\n<p>Once I proved I could walk without falling over and didn&#8217;t need morphine, I was allowed to go home.<\/p>\n<p><img src=\"http:\/\/simkin.org\/images\/arm\/bruising.jpg\" alt=\"\" \/><\/p>\n<p>I had a follow-up appointment in the Fracture clinic two weeks later when the staples were removed. I also opted to stop taking the Tramadol as it had knocked me low with nausea and migraines twice as well as leaving me generally groggy.<\/p>\n<p><img src=\"http:\/\/simkin.org\/images\/arm\/scar.jpg\" alt=\"\" \/><\/p>\n<p>I now have physiotherapy every week and a bunch of exercises to undertake every day. As of today (Dec 2nd), the Physios are happy with me. I cannot bend my elbow very much nor can I rotate my wrist. That is why I am typing this with one finger and it feels like an age.<\/p>\n<p>The prognosis is good. I should get some reasonable movement in the next 6 weeks. A full recovery is getting 80% normal flexation within 6-12months. Until then, I won&#8217;t be doing any more cycling&#8230;.<\/p>\n<p>I want to take this opportunity to thank everyone for the calls, visits, cards and gifts. I want to thank my family for running around after me (especially my wife). Thank you to Telstra (especially Alex) for keeping me employed and for sending me a huge fruit basket and card. Thanks to Matt for helping to keep me sane. For the record &#8211; it wasn&#8217;t your fault. A big apology to all those inconvenienced by my absence from work, inability to lift anything or for being grumpy when the pain got bad.<\/p>\n<p><a href=\"http:\/\/www.cyclosport.org\/article.aspx?id=1243\">Results page.<\/a> I was rider 113 and have been curiously omitted from the list. I was riding with 99 David Manning, 112 Matt Hunter and 109 Ben Wright. You&#8217;ve got to shave a good 20-30minutes off their time for the accident to be fair.<\/p>\n<p style=\"text-align: center;\"><strong>UPDATE 10\/12\/09<\/strong><\/p>\n<p>The consultant is not happy that my motion is still as limited as it is. Physio now officially steps up a gear. He did however let us take copies of today&#8217;s x-rays:<\/p>\n<p><em>Left and right views of the plates<\/em><\/p>\n<p><img loading=\"lazy\" src=\"http:\/\/www.simkin.org\/images\/arm\/bionic1.jpg\" alt=\"\" width=\"299\" height=\"359\" \/> <img loading=\"lazy\" src=\"http:\/\/www.simkin.org\/images\/arm\/bionic2.jpg\" alt=\"\" width=\"208\" height=\"358\" \/><\/p>\n<p>Left view rotated to show position of break and ulna repair. View of elbow from behind.<\/p>\n<p><img loading=\"lazy\" src=\"http:\/\/www.simkin.org\/images\/arm\/bionic3.jpg\" alt=\"\" width=\"344\" height=\"230\" \/> <img loading=\"lazy\" src=\"http:\/\/www.simkin.org\/images\/arm\/bionic4.jpg\" alt=\"\" width=\"236\" height=\"227\" \/><\/p>\n<p style=\"text-align: center;\"><strong>UPDATE 20\/02\/10<\/strong><\/p>\n<p>I am not due back in front of the Consultant until 4th May. Physio continues for now. I went out on the bike today. 5 miles. A bit odd as my left arm is still not quite strong enough. I&#8217;m slow because I&#8217;m unfit (18mph average and about 27mph on a gentle decline) but at least I didn&#8217;t have much of a psychological block to overcome. Need to get some gym time in and do a little bit more each time. Doesn&#8217;t help that it snowed again tonight.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So I was asked if I fancied attending the Kent Autumn sportive on 8th November. 70miles looping around Canterbury and &hellip; <a class=\"more-link\" href=\"http:\/\/simkin.org\/wordpress\/?p=175\">More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":""},"categories":[7,11],"tags":[198,183,182,15,184,185],"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/175"}],"collection":[{"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=175"}],"version-history":[{"count":2,"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/175\/revisions"}],"predecessor-version":[{"id":836,"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=\/wp\/v2\/posts\/175\/revisions\/836"}],"wp:attachment":[{"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=175"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=175"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/simkin.org\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=175"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}