This week was 14 miles of running and 10 "miles" of pool-running.
My discharge instructions post-heatstroke were a) get evaluated by my primary care within 48 hours of returning home, including bloodwork; and b) no exercise for seven days.
Unfortunately, when I called my primary care on Monday, the earliest I could be seen was 10 days later, on July 2. Fortunately, I already had an outstanding order for routine bloodwork that I hadn't gotten around to, so I stopped by the lab on Wednesday morning for a blood draw.
As for "no exercise" - I decided to apply the doctrine of reasonability and fairness to this guidance, rather than adhere to strict construction. My justification was and is that exercise really is medicine when you have Parkinsons, and stopping all exercise for seven days is not the "conservative and safe choice" that it might be for someone without Parkinsons. So, I did some gentle pool-running for the first few days, being careful to keep the sessions brief and in the coldest pool I could reasonably get to before work.
On Thursday I got my bloodwork results. They were totally normal - no indication of kidney, heart, or liver damage (the big concerns after a bout with heatstroke). I took that as reassurance that I could start carefully running on my treadmill with a big fan blowing at me, while watching my heart rate (and committing to stop the run if my heartrate started spiking).
So far so good - I felt totally fine both during and after my runs, including a relaxed interval session on Sunday morning. From here I'm going to introduce some easy outside running while keeping any harder running on the treadmill where I can benefit from air-conditioning and fan. I've done some reading on heatstroke recovery, and from what I can tell, the progression is generally:
- easy activity in a cool environment
- more demanding activity in a cool environment
- easy activity in a warm environment
- more demanding activity in a warm environment.
Monday: Off except for foam rolling in the evening.
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