Tuesday, October 13, 2020

Incredible!

Ended up getting out into the alpine 14 weekends in a row this season, but finally was rained out this past weekend.  I may be able to sneak in one or two more scramble adventures before laying off for the shoulder season while snow accumulates at elevation, and then it'll be time to strap on aggressive snowshoes for winter trekking at elevation.

Most recent trip was the Sawtooth Slam in the Okanagan National Forest, with 25 miles and 7,700 ft gain over three days, touching the tops of Martin, Switchback and Bigelow along the way.  Was great spending two nights under the stars, visiting spectacular alpine lakes surrounded by Larch in their golden splendor.

For the next several weekends, if the mountains are socked in, then l will get out on the water, either kayaking or sailing depending on wind.


Wednesday, September 9, 2020

And Scrambling!

So the next test was to leave the trail and do some full-on cross country work.  

The weekend two weeks before Labor Day, I hiked to Ingalls Lake pass and then left the trail and navigated the ridge to Fortune Mountain and then onward to South Ingalls Peak.  Clambering up and down large scree fields, scrambling over and/or around gendarmes and ridge nobs, and wedging ones way up chimneys and through keyholes, has a way of taking ones mind off of how body parts are performing.  And low and behold, they all performed just fine.  

I took it nice and easy on this first non-boot-trail scramble since returning to the Alpine, and thoroughly enjoyed it.  It felt so great getting to my final objective, that I gave a loud whoop to the entire Ingalls basin (with a few return calls from technical climbers on the South Wall of Ingalls proper and on East Ingalls as well).  Not having come up from Ingalls Lake, it took me a while to find the safe way down from South Ingalls, and I had to retreat back up several times when my path led to technical terrain.  

At day's end my feet were tired and sore, but it has always been thus, and by the next day it was just general leg soreness associated with continuing to build endurance.  So another success!

With Fortune and South Ingalls under my belt, I pulled out Summit Routes to find a slam that might work for the three-day Labor Day weekend.  I went with hiking up into Phelps basin to scramble Dumbbell Peak and Greenwood Mountain.  Got a leisurely start on Saturday, leaving home by 7:30am and hitting the trail by 11am.  Made good time to the top of the basin and 2,600 elevation gain with overnight pack and plenty of time to make camp and forage on blueberries until I didn't care to eat another (and I really like blueberries)!

On Sunday, I chose another leisurely start, getting underway by 8am to ensure plenty of time for route-finding and generally allowing for a comfortable, unhurried pace.  Found the gully and the way around the waterfall, made progress to the uppermost scree field without event, and scrambled the tight chimney to the notch and then along the ridgeline to the summit of Dumbbell.  Chose to forego downclimbing the steep chimney and found a descent route to climbers left (skiers right) of the chimney via a series of steep-ish slabs and then traversed back to the starting point below the chimney.  One down and one to go!

Next, I traversed the scree field to the notch leading to that phenominal catwalk around the side of Dumbbell to snowfields and then the base of the broad ridge to the summit of Greenwood.  That catwalk has to be about the most sustained, intense, non-roped exposure with guaranteed catastrophic (unsurvivable) consequences of a mishap I have experienced.  Either that, or I'm just needing to get used to exposure all over again.  An hour to Greenwood summit and an hour back, and the rest of the afternoon was picking my way back down to camp.  Can't stress enough how helpful trekking poles have become when working through scree fields not steep enough to use hands, and where careful balance remains at a premium. 

The plan was to spend Saturday night at camp and walk out Sunday morning, so there was plenty of time for another heavy appetizer of fresh foraged blueberries before miso soup, turkey tetrazzini, hot cocoa and cookies.  I would have slept like a log that night, but the wind came up strong and my tent ---although well secured and pegged --- was flapping around and making all kinds a racket.  Eventually, I got some sleep.

And once again, only end-of-trail foot soreness to report.  I was singing songs along the outbound trail and came upon the trailhead unexpectedly and earlier than planned.  Surprise!  Already done!! Today, the day after, there is only the general aches and pains of muscle building and recovery.  

So at this point, I've got to say I am about as "cured" as one can expect.  There is still --- and always will be --- a "hitch in my giddy-up," so to speak, or in common vernacular, a certain unavoidable stiffness in my gate as a result of all the internal hardware.  Beats the alternative!

Many times over these last several years, I have doubted that I would ever be able to do what I did this last weekend.  That I would ever be able to get out there and hike, scramble, overnight, and go the distance.  It has taken a long time, and a lot of trial and error, to determine the causes and test the fixes for one post-trauma mechanical pain-point symptom after the next.  

After this weekend, I can't help but be confident of being pretty well dialed in and ready to step back onto the path of my climbing journey, still with some catch up to get where I was before this calamitous detour began, but with a reasonable expectation of being able to continue onward. 

Throughout these summer hikes and during the last two weekends of off-trail scrambling, I have been internally chanting, "thank you, thank you, thank you" to doctors, nurses, technicians, and the rest of Harbor View trauma care and the hospital crew, the Anderson House skilled nursing center team, staff at the Ballard Landmark Senior Living Community, my orthotics specialists, master cobbler, family and friends.  And especially I raise my hands and heart in thanks to whatever cosmic power of goodness inhabits our universe and has allowed me to once again experience the wonder and beauty of our natural world.

Friday, August 14, 2020

Back in the Alpine!

Finally back in the alpine this summer, and I have been literally retracing my steps to rebuild conditioning. 

Tomorrow will make the seventh weekend in a row.  I have done Mt. Teneriffe, Mt. Washington, Defiance Peak, Granite Mountain, Kaleetan Peak, and Red Mountain (in the Commonwealth Basin), and tomorrow I will do Mount Dickerman on the Mountain Loop Highway.  By now I have regained sufficient stamina to lead basic climbs with relatively short approaches such as The Tooth, South Early Winter Spire, Kangaroo Temple, the South Face of Ingalls, and the like.  By the end of this winter coming scramble season, I should have attained a conditioning level to climb at a level prior to the fall.  

What has changed, allowing me to get back into the Alpine?  

Where the left ankle joint used to be just flat out painful, for some inexplicable reason it really isn't a bother any more, and there remains plenty enough range of motion for alpine work in trail shoes and sturdy mountaineering boots. There was a period of time when the pain was so distracting after just a couple of miles of walking that I was seriously considering either fusing the ankle (but with zero range of motion) or removing the whole blasted thing and replacing it with a blade.   Thankfully, my affection for the foot and ankle overcame my frustration at the pain, and somewhere along the way, the pain receded to a point where I am doing 14 mile days with 4k elevation gain. 

Also, the left hip used to get really sore because of differing leg lengths as the result of reconstruction after the fall (as well as from the cracked left femur from an intervening bike accident).  Initially, I went with an orthotic insert in the right shoe to equalize leg length, but that didn't quite do the trick because although the orthotic resolved the height difference at the heel, as it tapered to leave room inside of my shoe for my foot, the effective adjustment was next to nothing at the ball of my foot, so when walking I was still pushing off with the ball of my foot on a leg significantly shorter than it should be.  It took way too long to realize that what I really needed was a 3/4" lift added to the full length of all of my right side footwear (including trail shoes and mountaineering boots).  I found a fantastic cobbler with skills in slicing off soles, adding lift material, and gluing everything back together, and voila, I was back to a near-perfect equalization of leg length.  

Strangely, lifting the right foot resulted in a new aggravating pain on the outside of the left foot and on the pad under the base joint of the little toe, and once again, it took way too long to figure out that a new custom orthotic for the left foot --- contoured to give extra room in the painful areas and support in the surrounding areas --- could resolve that pain. 

The most recent "aha!" moment was resolution of unusually fast building callous on the pads under the base joints of both little toes, which made it feel as though I was walking on thumb tacks!  The solution this time was to aggressively grind off the callous using a very rough metal rasp after each bath or shower.  The rasp is so rough that it will tare normal skin, and I grind away on the callouses until I begin to feel something.  Those callouses don't stand a chance!  

It is feeling as though the way is clear for doing distance and elevation gain with increasing pack weight to rebuild muscle and stamina, and the hikes this summer seem to have born this out thus far.  I'm probably carrying an additional five pounds of reconstructive gear in feet, ankles, hip, and back, so I'll need to eliminate most all non-contributing body mass, and at 57 years of age that isn't as easy as it once was, but believe me I am not complaining one iota.

Goals?  Hmmm, . . . before the fall I was working on the top 100 peaks in Washington State.  I suppose there's no harm in continuing along that path, and not making any promises on getting there, but there's zero chance unless I continue to take it just one step at a time.  

Should be fun!

Monday, April 1, 2019

Back on the wall!

Finally, I climbed today for the first time since the fall.  Let's see, . . . from Thursday, June 30th 2016 until Sunday, March 31, 2019, . . . that's two years and nine months off the wall.  Oy Vey!

Well, it would have been "only" two years had it not been for two bike wrecks.  The second and more consequential happened mid December 2018 (previous posting), and I'm just now recovering after being on crutches through the end of January.  The first happened in June 2018, when I landed on a shoulder and blew a rotator cuff; those things take forever to heal.  Knocked a tendon loose and so now I have what the doctors call a "Popeye muscle" with my right bicep unnaturally balled up, which looks pretty goofy but still works.  I was just about ready to re-start climbing in December when the femur fracture occurred.  So I'm thinking maybe spend a little less time on my bike?!

Gotta' say, climbing the outside wall at The Mountaineers Program Center in Magnuson Park (and then rapping down) was more than a little freaky.  I climbed to the top of one of the towers as a volunteer instructor at a Basic Climbing Course rock field trip and I was there for several hours ensuring that once students arrived at the tower top, they safely transitioned from climbing to rappelling.  It was a simple pitch so I climbed fast and tried not to think about it, . . . someone else was belaying me afterall, . . . what could possibly go wrong?!

Chilling at the top of the tower throughout the afternoon was welcome, however, seeing students rap off the top of the tower was harrowing, and I quadruple checked their set ups as soon as they arrived until they were "on rappel!" and off and away.   At the end of the day when it was time to come down, I simply sent that little voice in my head way down deep, set up for rappel and went for it.

Live to climb another day!

Friday, February 1, 2019

Deja Vu

You won't believe this but it seems I just can't get enough of trauma centers!

One fine morning in mid-December, I was commuting to work via bike (as is my wont), moving across non-descript terrain that I've traversed countless times---just another random stretch of asphalt, this one transitioning from a parking lot back onto the Burke Gilman Trail---when lightning struck.

Well, not literally lightening, but that's what it felt like.  In one moment, I'm biking along, minding my own business, just enjoying the morning endorphins, and in the next moment I'm on the ground, bellowing in pain and not enjoying one bit the adrenaline rush resulting from this instantaneous transition.  There's no comparison between the pain level resulting from this fall versus the far more catastrophic fall over two-and-a-half years ago (hmmm, . . . still seems like yesterday).

Once again, I found myself on the ground huffing and puffing, but this time my nervous system did not shut down.  The first and only thing that struck the ground was my left hip---I didn't have time to reach out with a hand or roll into the fall----and man did that hurt!!  After several minutes, I had stabilized enough to become curious whether it was just a really bad bruising event, so I dragged myself over to a car, pulled myself up on my right leg, and then put just an "nth" of weight on the left leg.  Waabaaam!!  There was that eye-watering pain again.  Not good.  What now.

A good Samaritan walking the BG came over to see if I was OK, and they helped me carefully return to the ground.  Sigh, . . . there was no way I was going anywhere, . . . not a chance that I could move the hip without becoming totally unwound, . . .  so my guardian angel called 911 and in no time the paramedics were on-hand and then the ambulance arrived.  These very kind and skilled first responders went through the paces to make certain there wasn't anything life threatening, bound me to a backboard, bundled me into the ambulance, and then (so very cool of them) brought my bike the rest of the way to The Mountaineers (as it was on the way to their dispatch base).

Thankfully this fall occurred within a few minutes of UW Medical Center, and before I knew it I was back in emergency receiving.  An MD came in to check on me, and I'm not imagining this, but he took hold of my left ankle and pulled my leg and asked how it felt.  The rapid change in my coloration told him well enough how it felt and so it was time for x-rays.  By this point in my trauma center experience I am positively glowing with x-rays!  The film showed the hip was OK, but there was a crack in the femur about an inch from the point where it bends toward the hip.

Fast forwarding now, . . . I was admitted on a Friday morning, surged upon on Saturday morning, released on a Tuesday afternoon, and back at work on Thursday.  The surgeons decided that a total hip replacement wasn't called for (removing the end of the femur and replacing it with a new & improved prosthetic) because I am young and healthy enough to recover from the more involved procedure they went with, which involved fastening a plate to the side of the femur with lateral screws and then running a goodly sized longitudinal screw through the plate, bisecting the crack and pulling things together.  It does look really cool on film and is a prized addition to my already impressive collection of internal hardware!

This is tongue in cheek, but I was a little disappointed not to have the hip replacement because during surgery the doctors could have adjusted the length of the left leg by 5/8" or so to match the shortened right leg, . . . so I'll continue to need significant orthotic adjustment to smooth my gate.  Drat.

Post-operative convalescence involved six weeks of non-load bearing on the left leg which meant: crutching everywhere including up and down stairs in and around work and my living situation; dealing with significant discomfort associated with swelling / internal bleeding from the surgery (quad muscles don't appreciate being pried aside to get at the femur); and figuring out how to be at work with my leg raised to manage the inflammation and pain.

Just so happens that I still own a fancy power wheel chair from last go round, and with quick calls to the provider and their very wonderful responsiveness, the chair was tuned up and ready to go with a fresh set of batteries and a loaner control joy-stick replacement unit (the old one was cracked and no longer weather proof).

For the next several weeks I used the power chair at work as I had done before, reclining and keeping the legs up.  Otherwise I carefully crutched around work and home, and as before everything just takes longer.  Thank goodness there is a sit-down shower stall in my living situation; I can't imagine how showers could have safely worked otherwise.  I re-invested in a long grabber device to help pick up dropped things and to get pants legs over my feet, and I also acquired another sock-donning device to assist in getting my feet started into compression socks I still use to control morbid swelling associated with the prior fall.  Bending down to put on socks just wasn't happening for the first couple of weeks!

All good things with time.  After three weeks the discomfort and limited range-of-motion subsided and once again I could bend down to pick things up, put on socks and get trousers started.  I had pretty well mastered crutches in all situations, far more confident, capable and fast up and down stairs.  Friday a week ago the doctors gave me the green light to load-bear again, so I exchanged the crutches for trekking poles, and by the beginning of this week I was down to one pole and forgetting where I left it at work half the time!  This coming week, . . . no more trekking poles.

Since returning to load-bearing I've been walking further each day and spending more time with full range of motion calisthenics which feels great, . . . so reminiscent of last time.  It's amazing how much muscle atrophy occurs in just six weeks!  Quite a bit of rebuilding to do.  I had to cancel an orthotics adjustment appointment for the first week of January after this most recent fall, but now I'm ready to reschedule.  Want to try another 1/8" shimming on the right leg, because my gate isn't quite yet where it needs to be.  We'll see how that goes.

Tomorrow I'll head to the boat!  I have crutched along the dock a couple of times to check on the mooring lines (I figure the marina would call with anything more dire).  No way could I have safely transitioned onto and around the boat with crutches; that would have been shear madness.  The weather is looking fine for a sail and I'll be cautious and conservative. It's been a couple of months since I've been out, so should be nice.  Onward!

Oh, . . . what caused the fall?  My bike and I encountered an invisible patch of leaf slime!  A maintenance crew had just blown leaves off of the section of parking lot I traversed (they were working another section along the way) and uncovered the still damp and unexpectedly slimy and slippery asphalt surface below.  Once on the ground and with my wits collected I ran my hand over the surface and it felt as smooth and slick as black ice, but it wasn't near cold enough for that.  My bike is a simple commuter with slightly wider than normal tires, I was biking slow and steady, and I was making a very gentle left turn when the both wheels slipped to the right and I came down HARD on the left.  Bikers be warned, . . . and ever vigilant for leaf slime!

Friday, July 13, 2018

Family Ties

My folks retired to Houston and lived there for 20+ years before down-sizing, selling their home, and moving to an apartment in St. Petersburg FL to be closer to family support (one of my elder sisters lives there).  

I didn’t mention this earlier, but much of the summer and fall of last year my brothers, sisters, and I helped Mom & Dad prepare to move, . . . deciding what to bring with them (what would fit in their new place), . . . preparing their house for sale after they left (new paint, new carpet, yard work, many minor repairs, and thorough cleaning inside and out), . . . deciding what to do with all the stuff they left behind (of their five children, who wanted what and how to get it to them, with a goodly amount left over for goodwill, and the rest to the dump), . . . and working with the realtor on pricing, open houses, responding to offers, and negotiating the close of the real estate transaction.  

This entailed multiple trips to Houston to meet with movers, the realtor, repair crews, painters / carpet layers, interior / exterior cleaners, gardeners, junk-haulers, etc., and many, many calls to arrange / coordinate times for these folks to be at the home to perform their work.  The air travel and working around their house became another feature of my convalescence, and there were days when my ankles became markedly swollen after being up and about longer than I had been up to this point.  

An elder sister and I spent a long weekend on a herculean effort, moving from room-to-room through the house sorting items between those for family friends & helpers, goodwill, recycling, and junk, . . . and then preparing all items for appropriate movement.  As you can imagine, this was both physically and emotionally draining, as we came across many left behind items that conjured childhood memories, and we had to be judicious about what could be salvaged and passed forward and what we would leave behind forever.

Eventually everything came together as planned, and when the house sold in late August my folks were pleased and it all seemed to have been worth the effort.  None-the-less, Mom had indicated hesitancy about moving from their Houston home.  She had teased---but not really---that she didn’t want to go, . . . wouldn’t go, . . . would stay there at the kitchen breakfast table.  Mom especially enjoyed sitting there reading the newspaper, listening to the news on the radio, and looking out of the large picture window at birds & squirrels visiting the bird feeders Dad hung from tree limbs on the other side of the driveway outside the window.  Dad was hesitant as well, as he enjoyed golfing with his buddies and singing in the church choir.

Both Mom & Dad loved living in their Houston home, and they had made a number of accommodations around the house to address the risks, such as putting in a chairlift on the stairs, installing a day-bed in the downstairs office and installing a shower stall and toilet in the utility room off of the kitchen. Additionally, they had a long-term disability insurance policy that kicked in and paid for an in-home service to provide simple day-to-day care.  

It was a good situation for them, but their kiddos (me and my brothers & sisters) were concerned about their living alone because of the lack of interaction with others, the risks of not having medical response nearby, and the increasing amount of support they would need as their memory capabilities diminished.  Over the years, we had gradually introduced the concept of their downsizing and moving closer to one of us, and eventually they grudgingly acquiesced to our encouragements.

I would discuss downsizing with them using a climbing analogy.  I described the choice to remain in their home as analogous to a technical climbing team who had climbed past their turn-around time and although it was still light out and climbing was enjoyable, it was going to get dark soon, and then climbing would become perilous.  Also, as they aged, I alluded to their gradual loss of rock-climbing capabilities and stamina and hence they would become less resilient in responding to complications and this also increased the risk of experiencing catastrophic consequences of a fall, a broken hip, and then six months of life, tops.  Brothers and sisters spoke to them as well, and one sister invited them to visit a St. Petersburg senior living complex where they ultimately chose to live.

Unfortunately once in Florida, Mom's health rapidly dwindled, and she became progressively weaker as the weeks passed.  She was in the hospital before the Christmas holidays to address a racing heart, and because she had become so weak and fragile, the doctors required she stay for several more days of observation.  Then, the doctors prescribed a follow-on week at a skilled nursing center for physical therapy to improve her strength and ease of movement, and she moved there after the new year.  Mom was increasingly miserable, and I was shocked to receive a call from Dad on January 13th that she had died overnight at the skilled nursing center.  Just the day before an elder brother and I spoke, and we both agreed that although her decline had been increasingly rapid, she had at least several more months if not years.

What the kiddos didn't understand or avoided comprehending, is that our folks were already so fragile that the move to Florida---rather than guarding against a critical incident that would result in a rapid downward spiral in health---actually instigated Mom's rapid descent.  Using the climbing analogy, we implemented a futile rescue attempt.  Mom & Dad were already climbing into sunset, and it was already too late to attempt a rescue.  We didn't realize that while in the midst of moving them from Houston to St. Petersburg they were very close to being benighted, and although they had acquiesced to our efforts, they knew in their hearts that it was too late, that we should just leave them be where they were and allow them to enjoy the last of the sunset as best as possible.  How sorrowful I am at this realization in 20/20 hindsight.     

My elder sister Lynn wrote and arranged for Mom’s obituary to be placed in Houston & Baton Rouge newspapers.  She organized the memorial service, invited all our relatives, rented the venue, hired the caterers, . . . did just about everything.  Elder brother Bob prepared an amazing slide show that ran in the background throughout the gathering.  I acted as master of ceremonies and spoke on my family's behalf.

My father is devastated by the unanticipated loss of his partner of 65+ years, and it’s like half of him is missing.  He is so sad and lonely.  He is miserable.  He regrets.  He would never have agreed to move from their Houston home last summer if he had known the love of his life would be gone in the new year.  He feels guilt for having taken her from the place she loved best, causing turbulence and complications during the last months of her life.  Marie was not happy in St. Petersburg, and Dad feels as though perhaps she just sort of let life go and left him, sneaking out the back door when know one was looking.

Now I see that the climbing analogy I used to encourage them to downsize and move to an apartment was correct, but I gleaned the wrong lessons from it.  True, Mom and Dad had climbed well past their turn-around time, but it had become so late in the day that the only reasonable thing to do was to admit there would be no getting back down safely, and so the only choice was to enjoy the remaining time on the rock, ascending their last summit and becoming benighted up there, but blissfully so.  Instead, we encouraged them to acquiesce to an emergency descent, and so with our prodding they tried to beat a hasty retreat even after it was too late to do so safely, and Mom fell on the way down.  We didn't realize how dangerous it was to change course and retreat when the climb party is frail but in equilibrium.

I flew to St. Petersburg to accompany Dad on his travels to Mom’s memorial service in Houston.  He had been experiencing acute pain in his lower back, and we were able to make an appointment with a Houston specialist who had helped him in the past, and so we stayed after the ceremony for an extra couple of days until the appointment.  We had several very nice days together, and took the opportunity to visit the sight of the memorial service again and the gardens surrounding it.  There was an especially lovely Japanese garden that we very much enjoyed walking through. 

The doctors visit turned out very well, and the flight back to Florida was uneventful, but it was so difficult to leave him alone and grieving in his forlorn and empty apartment.  I suggested that he should reconsider all the decisions that had brought him there.  If they had not moved from Houston, and Mom had passed there in their lovely home, and if he now found himself widowed and alone, what would he do under those circumstances?  Likely, he would move from the Houston home, and so that part was already taken care of.  Perhaps he might still choose Florida as his new home, and if so, then that part was already taken care of as well, and then he would just need to figure out how to carry on without Mom.  But if another alternative now seemed to make more sense, he shouldn’t think twice about asking for help to make another move.

I have suggested that rather than living alone in an apartment, he might also consider moving in with me in Seattle.  At first, he expressed concern about cramping my style, but I made it clear that I was serious and would be honored to have him live with me.  It would be a pleasure to care for him now as he had cared for all of us while we were growing up, and that I would very much welcome having his company.  We'll take our time discussing this alternative.  We want to be certain of what will be the best situation for him, now that Mom is gone.

Family ties have taken precedence over consistency in focus on convalescence, as well they should. 

Sunday, February 25, 2018

A Better Reason


The rest of October flew by with me biking to work every day, staying until late and biking home in the dark. 
The Burke Gilman Trail after 10pm is an interesting place.  First of all, in many places the trail is far enough from the road that there is practically zero ambient light, so you bike by the moon & stars and hope for the best.  Second, the trail gets a little wild after dark so there is noticable scurrying in the brush on either side and I imagine the reflection of little critter eyes in the glare of bike head lights flashing by.  Third, oncoming bikes with super-bright lights---intended to “see” rather than “be seen”---are blinding and I whisper casual oaths under my breath as they approach.  A few considerate riders shield their high-beam lights, but most don't bother and I do my best to guess where I am in relation to the side of the path. . . . can’t see a blessed thing.

Then also, people occasionally leave the ubiquitous green and yellow bikes-for-rent sprawled near the path making for difficult-to-perceive and unexpected near-miss obstacles.  Speaking of the ubiquitous green and yellow bikes-for-rent, . . . by day, folks peddle these bikes slow and steady, and us bike commuters can make our way around them all right.  After 10pm however, a few of these bike renters are as well lit as the bikes themselves!  Having emerged from the local pub and unsafe to drive a car these riders feel steady enough to rent a bike.  But I digress.
I have implied the cause of not pushing hard on convalescence has everything to do with being super busy at work, but that is not fully accurate.  Truth is other distractions have arisen on the home front.  This is tuff to talk about.  It is not like falling off a climbing gym wall which is easy to overcome by comparison.  This hurts in a different way.  So very, very sad.