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Bruno Schull

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Viewing 15 replies - 1 through 15 (of 30 total)
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Posted In: Why We Stopped Relying on HRV Apps

  • Participant
    Bruno Schull on May 30, 2022 at 11:25 am · in reply to: My journey with running and OCD #67797

    Hi Austin,

    Thanks for sharing you story. This was meaningful to me, because I have suffered from OCD and ADHD since I was about 12 or 13. I’m 49 now, and have been on medication and in therapy for about 20 years. It’s been a long process. H ere are some of the lessons I’ve learned along the way. Maybe this can help you on your own journey.

    1-The first piece of advice comes from Pete Dickinson, the excellent physical therapist associated with Uphill Athlete. Pete helped me recover from an athletic injury and surgery. He said, “Progress may not necessarily be becoming pain free, but being able to do more with a manageable level of pain.” In a similar fashion, your OCD may never go away completely, and your goal may be simply learning how to manage symptoms and live a full life. Who knows, maybe your OCD will disappear (Yey!), but probably not. So, perhaps think of this as a long winding road with many ups and downs.

    2-It can be exhausting. Mentally, physically, financially. You know this. But the people around you may not know this, or understand completely, and that can be hard, especially for your closest friends and loved ones, which constitutes and added burden on you, because of what you know you are putting them through. There’s really nothing to do about this, it’s just something you need to accept, try not to beat yourself up about, and try to manage as best as possible.

    3-Be prepared for people to dismiss or minimize your struggles. For example (I’m sure you’ve experienced something like this) if the topic of OCD comes up, people might say, “Oh, I’m totally OCD! I always check to see if the stove is off, or the door is locked!” It’s almost like OCD has become a buzzword for any kind of slighly-above-average conscientious or systematic behavior. Fair enough; there’s probably a spectrum. But, as I’m sure you’ll agree, OCD is much more debilitating than checking to see if the door is locked. The same is true of ADHD. It’s fashionable to dismiss ADHD as a modern diagnosis promoted by over attentive parents with unreasonable expectations who want an explanation as to why their normally energetic children won’t sit still in class and earn good grades. But, if you suffer from ADHD, you understand that it basically guides your entire life. I was only diagnosed as an adult. The diagnosis really helped me put my life in perspective, or understand some parts of my life.

    It can be especially hard for others to appreciate your struggles if you are outwardly successful or normal. For example, I have a wife, a child, a job I love, good friends, a little financial stability and security, I’m a lifelong athlete, and so on. Maybe it’s the same for you. In some sense, this shows that my (or our) condition is not really that serious. After all, there are people with OCD who need constant care in an institutional setting. However, judging people on their outward appearance of success, or, more importantly, judging oneself on one’s outward appearance of success, risks minimizing the daily struggle to maintain everything, the incredible investment of time and energy, the psychic cost, to keep it running smoothly. It’s like the adage about walking a mile in somebody else’s shoes. I always wonder to myself, “What would people think, and how would they react, if they spent a minute inside my mind?” So, as above, try not to minimize your condition, and give yourself come credit for lacing up those running shoes and heading out the door every day.

    Feel free to email me if you want to discuss the intricacies of OCD (brunoschull@hotmail.com). I’m happy to share publicly as well if anyone is curious, but that’s not my intent here.

    All the best, Bruno.

    Participant
    Bruno Schull on March 24, 2022 at 1:52 pm · in reply to: Return from RED-S/OTS #64707

    Hey Tyler–wow, sorry you’ve been having such a hard time. I can relate somewhat, as I work a chronically stressful job (high school teacher!) and I struggle to stay physically and mentally healthy and injury free, while still enjoying the mountains.

    For what it’s worth (probably very little!) here are some thoughts.

    It’s obvious that you were just trying to do too much; work, training, racing! You held it all together for a while, and then the wheels came off the bus. Predictable in hindsight, but probably felt reasonable enough. OK, so now you know, and you’re faced with a severely depleted and weakened body, and an uncertain path ahead. What to do?

    First, priorities. Look, you’re in the middle of serious work and career training. Maybe it’s just time to say, OK, now I do what I need to do to become a surgeon, and then later I can re-evaluate my athletic life. Can anybody really maintain a serious training program while completing a surgery residency? Should anybody even try? Sure, some will pull it off, but for most people the answer is no.

    Second, I would suggest just let go of all the goal-oriented training, competition, and so on, and I say that knowing exactly how hard that is to do. Who knows if the past COVID 19 infection is playing a role, but it’s certainly possible. As well as all the accumulated stress and fatigue of the medical crisis these last years. Maybe pick a new, relaxing sport. Stand up paddling, easy hiking, light mountain biking, stretching, yoga. Whatever. Just stay generally active, as much as you can, and try to enjoy moving your body outdoors, in an new way, with no expectations and pressures. Give it 6 months. Give it a year. Give it as long as it takes. Your body will tell you when it’s ready to come back to training.

    As an aside, I understand the advice to gain weight, but that weight will put stress on your musculoskeletal system, it will hinder your future athletic performance, and it is not going to be easy to loose. The only way to loose it without radical changes, potentially harming your body further, will be very slowly, over many months. So, maybe try to get through this six-month or year-long recovery phase slowly loosing weight, so you come out at the end closer to where you feel more natural and comfortable.

    Last, when you are ready to get back to training, bear some points in mind. You’re 38. That’s not old, but it’s not young, either. Where are you in your life? You are going to be working a very demanding job. You didn’t mention family, so I don’t know if that’s in the cards, but that could obviously play a huge role. As a starting point, you have to be truly honest about how many hours a week you can devote to training and recovery. 4 hours? 5 hours? 6 hours? Let’s say you can train 5 hours a week. That’s not five hours of running. That’s maybe 2 hours running, 1 hour of strength training, and 2 hours of light cycling, calisthenics, yoga, or whatever active recovery you prefer. And that doesn’t even take into account time to just rest–lie in bed and stare out the window, watch movies, meditate, read, whatever. I know, Type A athlete/doctor/surgeon types don’t really rest, but it’s the most important part of training. As your situations demonstrates.

    Once you have accepted how much time you have in your life to train and recover, let that number determine your realistic goals, and your sustainable athletic life in the future.

    Good luck.

    Participant
    Bruno Schull on July 6, 2021 at 2:09 pm · in reply to: Training without a heart rate monitor #55513

    Hi Scott,

    I want to thank you for sharing your breaths/steps pacing system. It’s really interesting, and, like so much of Uphill Athlete, reflects deep experience blended translated into accessible training advice. Awesome.

    I tried the breaths/steps system during a recent run. It wasn’t a training run, it was more like an “event” for me, although I was just out in the mountains doing my own thing. I wasn’t concerned with staying in a particular zone, but I did want to maintain a pace that would allow me to run/hike steadily for about 3 hours.

    Here’s what worked for me:

    Easy/moderate effort on flats
    3-4 steps-inhale, 3-4 steps-exhale

    Moderate climbs
    2 steps-inhale, 2 steps-exhale

    Really steep climbs
    1 step-inhale, 1 step-exhale, like mountaineering πŸ™‚

    I found that on the less steep sections of long variable climbs I often had to hold myself back, staying at 2/2, even though I could have gone faster, knowing that, if I did go faster, I would have to slow way down, or even stop, once it grew steeper again. By staying at an even 2/2 pace, and even slowing down to 1/1, I could keep my effort steady all the way to the top.

    Going downhill, of course, my HR dropped. I don’t have the leg strength and joint stability to run downhill fast, at the speed I would need to maintain my HR. Instead, I alternate walking and light jogging on the downhills, knowing that my HR will go down, but saving my body from injury.

    Anyway, thanks again–your feedback really helped.

    Participant
    Bruno Schull on April 30, 2021 at 10:20 am · in reply to: Training without a heart rate monitor #53525

    Hi Scott–thanks for chiming in. If I’m reading your words correctly, you are suggesting that, unless I’m a super-aware Zen Master type athlete, it’s likely that I am pushing too hard, especially if/when I go a little harder? You’re probably right. Advice to self: slow down and walk more. I do wonder if I have ADS after so many years of endurance training.

    Can you elaborate a little about your second post? I assume that when you write “calibrated ventilation” you mean using a HR monitor to define zones, figuring out my ventilation feel/pattern at each zone, and then applying that? I agree that would work well, but I don’t want to go there. I’m not just being an old dinosaur who doesn’t want to use a heart monitor: one of my challenges (basically my biggest challenge) is mental health…I have struggled with OCD and ADHD since I was a teenager, taken medication for some 20 years, and so on. Part of my neuroses and anxiety are related to heart rate, so it would just be a bad idea to wear a monitor, although, as I said, I wore one for years when I was bike racing at a relatively high level. I’m happy to share more about being an athlete with mental health issues if anybody is curious, but here I was just thinking about training, so I didn’t mention it at first πŸ™‚

    Regarding your second point, what do you mean about matching breaths to cadence? Can that even work on uneven terrain, for example, a single track hiking trail? I love the idea. I have found anything with breaths control and synchronization (meditation, yoga) to be quite powerful. How do you go about match your breaths and cadence?

    OK, thanks again.

    Participant
    Bruno Schull on April 26, 2021 at 11:23 pm · in reply to: Maintaining aerobic fitness while injured #53428

    Hi–sorry to hear about your injury. I’ve been there! Here are my two suggestions:

    Concept2ski erg. You can get a great aerobic workout with this machine, and with some creativity you can exercise your core…even your legs.

    Running in a swimming pool with or without a waist flotation device. This is what most runners do. It can be borning, of course, but, it necessary, get a waterproof mp3 player, some headphones, and listen to podcasts. Back an forth in the pool, vary stride length and hand/arm involvement, circular sculling with hands and feet, hold hands above water to do “intervals.” You can really raise your heart rate this way, as well as maintain (some) running specific movement patterns.

    Good luck! Just keep at it…it will come back.

    Participant
    Bruno Schull on March 27, 2021 at 1:21 am · in reply to: Training without a heart rate monitor #52440

    @ Shashi and Emil–thanks for your replies!

    I have a follow-up question–not it gets tricky!

    In the eternal quest to diagnose/identify ADS…how might I approach approximating my AeT and AnT using ventilation/RPE?

    Could I use pace/time/capacity to tell (roughly) if I have ADS? For example, if I can walk/run/hike with light breathing and a light sweat for 3 hours, and so on.

    The question I am trying to ask is, without a heart rate monitor, how can I tell if and when to add some structured intensity into my walking, running, and hiking training?

    Thanks again,

    Bruno

    Participant
    Bruno Schull on July 4, 2020 at 10:56 pm · in reply to: Getting back to the mountains after fatal accidents #43283

    Hi Kate,

    I was going to link the article above, but lucye beat me to it! I don’t know if it will help, but it was certainly thought-provoking.

    I don’t know how to process the loss you describe. All I can offer is a moment of reflection, and a long, distant, across oceans and continents moment of compassion and empathy for the pain you must feel.

    I was once involved in a traumatic cycling accident where one of my friends was killed and several others were badly injured. That was a life-changing event, and my experience guides the suggestions below.

    People to talk to
    I’ve told the story of that accident many times over the years, to friends, therapists, doctors, and so on, but the person who I most connected to was an intake nurse when I first visited the hospital. She just sat there, and listened to my story, and offered what I senses was true compassion and feeling (as well as a hug!). Finding people like that that you can share your experience with, and, most important, feel a genuine human connection to, is really important.

    Tribute and transformation
    I really like what Scott wrote about getting back to the mountains slowly. Eventually, when and if you’re ever ready, you might consider going to some of the places where these accidents occurred, not necessarily into high alpine terrain, but simply to be there, absorb the feeling of the place, and try to aid your progress and transformation.

    Rick Ridgeway wrote a relevant book, Below Another Sky, about traveling back to the Himalaya, many years after a fatal avalanche, to find and pay tribute to the body of a friend who died, accompanied by the deceased daughter. It’s a moving book, and, perhaps, you might find some meaning therein.

    https://www.amazon.com/Below-Another-Sky-Mountain-Adventure/dp/080506284X/ref=sr_1_1?dchild=1&keywords=below+another+sky&qid=1593924729&sr=8-1

    Good luck on your path.

    Bruno

    Participant
    Bruno Schull on April 9, 2020 at 5:44 am · in reply to: A question about the mental part? #40332

    Hi Ica,

    This UA article might be a good start: https://uphillathlete.com/know-thyself/. It sounds simple, but I think it takes a lot of thought and effort and experience to get it right (and it’s a continual process).

    It’s hard to get a sense of exactly what you’re looking for, but reading somewhat between the lines, it seems like maybe you already know the answer/solution. My (perhaps incorrect) interpretation of what you wrote is that you have been working hard (student/job) and using your little available time to achieve big, hard objectives. Awesome. Now, maybe, some of those objectives have started to become a little scary. And now, perhaps, you still have limited time, or even more limited time, and maybe you’re a little older, and you feel a pressure to keep pushing, but you don’t feel quote comfortable, and you don’t know where to go from here? You mentioned that what you think you might be missing is a foundation of easier, non-scary routes, well-within your abilities. Is the solution simply to dedicate some time to routes of this kind, in a gradual progression, until you feel confident again? The big stuff will still be there when you’re ready…

    Participant
    Bruno Schull on December 20, 2019 at 10:08 pm · in reply to: Inguinal hernia #34757

    Hi. I had surgery for an inguinal hernia a little over a year ago. In my case, it was obvious. I had no pain (for example, from a muscle injury) but when I tensed my abdomen in the right way, a prominent bulge appeared in my inguinal region, and disappeared when I relaxed. When the surgeon did the repair, he used arthroscopy and a robot–he said that is more precise. he said that the repair is stronger than the normal tissue, and that I could theoretically, so exercise right away, but that I wouldn’t want to, because of the pain/discomfort. He was right–it was about a week to 10 days before I felt ready. I started easy with a towel folded and pressed against by abdomen with a wide belt for support (probably not necessary but good psychological support). I would say, get a professional evaluation, and, if surgery is indicated, pick a a time that works (it’s never the right time) and get it done. It won’t heal, it won’t get smaller, there is only the chance, if you push in the right way, that it will get bigger and/or that a section of your intestine will get entrapped, which is a serious problem. Good luck.

    Participant
    Bruno Schull on July 3, 2019 at 10:26 am · in reply to: Nutritional supplements for musculoskeletal injuries #24406

    Hey Rebecca, Thanks for the reply. I’ll get in touch to schedule a phone consultation. All the best, Bruno.

    Participant
    Bruno Schull on May 24, 2019 at 2:54 pm · in reply to: Patellofemoral Pain #22467

    Hi. Sorry to hear about your injury–I feel your pain, literally. I’ve been struggling with knee/ankle problems related to a ski accident for more than one year, and my I still have serious anterior knee pain, and ankle pain, that prevent me from doing any cycling, running, real climbing, and so on.

    Most recently, I saw a new doctor, which brought some new perspective, and a new planned date for surgery. Ligament reconstruction on ankle, exploratory arthroscopy, fat pad resection, and meniscus repair on knee.

    The MRI shows that the most likely cause of my anterior knee pain is 1) Instability from my ankle injury, 2) fat pad impingement with patella and subsequent irritation, and 2) small tear of posterior horn of medial meniscus which has caused some swelling. After being told that I chronic patellar tendinopathy for one year, looking at the MRI with a perfect patellar tendon was interesting, to say the least. At least now I can look elsewhere for the cause of the ongoing pain.

    One thing my doctor advised is that anterior knee pain can and often is caused by pain in other/deeper parts of the knee. He also would not make any more specific diagnosis than “anterior knee pain” without a set of good scans.

    So, in your case, if you have not already done so, do your best to get an MRI, and maybe try to think beyond just the interaction of patella/femur.

    If they find a clear and operable problem, I would say with your level of activity and drive, just go ahead and do it! Better that then go through the next year(s) of waiting, wondering, and frustration.

    Good luck!

    Bruno

    Participant
    Bruno Schull on March 7, 2019 at 11:26 pm · in reply to: ACL Reconstruction for Skiing #17766

    If you have not already done so, you might want to check our Brian Harder’s blog, http://www.skimolife.com/. Over a series of 5 posts, he detailed he experience with ACL reconstruction for skiing. All the the questions you ask, and more, are detailed therein. Good luck–it’s a long road, but I think you’ll come out the other end stronger.

    Participant
    Bruno Schull on March 3, 2019 at 1:59 pm · in reply to: A year of TFtNA training #17333

    Hi Eustache–thanks for sharing that. It’s great to read about somebody’s approach, thought process, and evolving conclusions. What I found most interesting was your last paragraph:

    “Modern alpinists probably need to be fit and flexible for extended periods to make the most of the changing environment. My ambition for the following years is to manage to train for such a state and be able to grab good conditions whenever they fancy to appear. I don’t know if that goal can be fulfilled by laying out and following a training plan resembling the one I had this year, but for sure structured training and understanding of training science would help.”

    I generally feel the same way. It’s so hard to line up weather + conditions + partners + available time … and to make all that match a planned peak for the year. I think it’s perhaps more realistic for most of us to shoot for being in good general shape for longer periods…for example, for a month or two, and then try to accomplish what we can, remaining open to different climbs, and different kinds of climbs, in different places, as much as possible. That is sure to be more fulfilling that becoming frustrated by being continually thwarted in the pursuit of specific objectives. In my case, I found that in some ways I have climbed more, and enjoyed climbing more, once I let go of those “dream” or “goal” climbs…and let the objectives just come naturally. Then again you have to balance that with the vision and commitment to make big goals happen…it’s an endless circle, a continuous cycle.

    Anyway, like I said, thanks for sharing.

    Participant
    Bruno Schull on January 3, 2019 at 3:53 pm · in reply to: Overtraining Recovery Stories #15697

    Hey Rowan,

    Thanks for sharing that story. I’ve dealt with over training before, first in my 20s, when I was bicycle road racing very seriously, and then periodically throughout my athletic life, climbing, train running, and so forth. Below are some basic things that jump out at me, and then some words about a possible change in perspective.

    -Definitely get your iron and ferratin levels checked–I recently felt much as you do, and it turned out I had low vitamin D, and very low iron levels, despite my diet. My doctor explained that, no matter what they eat, some people just have trouble absorbing iron from food, and may need supplements.

    Besides Giradia (!) you didn’t mention any viruses, colds, flus, and so on. That’s good–I think that’s the next step if you keep going deeper in the hole–your immune system begins to get much weaker. I would say it’s a good sign you have not been consistently sick, but at the same time infections like Giardia can set you back for many months, especially for athletes. Don’t discount the effects of that infection.

    -You also did not mention any physical injuries, like stress fractures, tendonitis, and and so on. Again, I think that’s a next step, if you keep trying to do more, especially now, as your training may not be as consistent as it once was, and you might alternate between periods of relative inactivity, and periods of more intense activity. Try your best to base your efforts on what you have been doing lately, not what you have done in the past. If you try to do too much too soon–relative to your current state of training and physical fitness–you risk an injury. This is so important. Go slowly!

    OK, those three points were pretty conventional. Here’s some more “out there” advice.

    Rowan, you’re only 22. I’m more than twice your age. I’m not saying that to be patronizing, or try to sound superior and wise, but just to give you some perspective.

    You have so many years ahead! I am sure you have big dreams and huge plans, but, as frustrating as it might be right now, I would say this is the time to take the long view, and try to be patient (which is hard for athletes of any age, myself included).

    You will run again. You will hike and bike and climb again. You will in all likelihood complete adventures much bigger and grander than those you have already accomplished (which sound great, by the way).

    So how do you get there?

    Instead of going for a run every few days, and waiting for your legs not to feel heavy and flat, which might be counterproductive, why don’t you try something completely different?

    For example, you could start regular yoga practice, or Tai Chi, or something else that would heal your body in a new way. You could practice cross country or downhill skiing or snowboarding. It sounds like you have some means and time to travel–how about learning how to surf (if you can’t already)? What about paddle boarding or kayaking? What about conventional ball sports? What about dance? What have you always wanted to try? What would be fun to learn? Maybe this would be a good time to try something that you have always been curious about, but never felt like you could pursue, because it would detract from your main goals. In a strange way, taking an alternative track, and trying something new, might be the best way back to the sports that are closest to your heart. Think of this period as an opportunity to do something fun.

    I say this because, for you right now, it doesn’t matter what you do, right? As important as specificity is when you are training, you are not training–you are recovering. The important thing is to stay active, in some way, in any way, for your physical and mental health. If you tried something different as I suggest, you could maintain a light level of aerobic fitness, and perhaps build some new strength, flexibility, coordination, or skill, as well as become part of a wider community?

    This summer, when I was recovering from a knee injury, which did not allow me to run, bike, or climb, I took up a new sport–wind surfing! It was great, and because I didn’t need to repetitively bend my knee, it sort of worked! Now wind surfing is a sport I will surely practice in the future. And I have a life goal to learning how to surf on ocean waves when I turn 50…why not? I am trying to lay the groundwork by practicing with a long board when I go to buy coffee in the morning, and soon I hope to take my first snowboard lesson with my wife and daughter, just to develop some balance on a board.

    So the dreaming and doing never stop…just try to take a deep breath, accept where you are now, look around for new opportunities, and remain confident that eventually you will be back running on those trails….

    Anyway, that’s my “old man” advice. As they say, advice is a form of nostalgia, so please forgive me–perhaps I see in you the potential of youth, and am trying to suggest things that I might once have liked to do.

    All the best, and good luck.

    Bruno

    Participant
    Bruno Schull on July 6, 2018 at 7:28 pm · in reply to: Pull up program–success or failure? #10747

    That’s great information Scott–thanks!

    I think I will do another round in the early Fall–it was so focused and simple that I could really get into it.

    And it dead lead to real strength and endurance gains, I just had the arbitrary number in mind.

    I have to say, it is astonishing how different my body feels after doing this strength training in the last year. Big changes.

    (The knee is still not ready for strength training yet…it will get there).

    Thanks again,

    Bruno

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