Concussion

A couple of years ago I collapsed in the Brecons in the middle of an all-day yomp from one aircraft crash site to another, and wrote about it in a previous post (Brecon Beacons, March 2015). I was airlifted to Swansea Hospital and thoroughly checked out but nothing much came of that, for as my GP cheerily said, “It will have to happen a few more times before we know what is the matter with you.”

This February, while riding in the Malvern Hills one foggy and rainy night, I came off the bike backwards and hit the back of my head. The shock detached my helmet light and I saw it a few yards away, winking red. I still have no idea how it happened, nor any memory of the few minutes leading up to the crash. I did not lose consciousness, but felt very strange. Reading Elizabeth Lopatto’s post, “Diary of a Concussion”, reminded me of all that. https://www.theverge.com/2017/9/27/16086018/concussion-diary-brain-injury-recovery-symptoms

She was hit by a car turning in front of her, and was seriously injured. My own experience was much less severe, but this itself is of interest; since even falling backwards wearing a good cycle helmet ended up with me dazed and disoriented for the next couple of hours.

I knew I was in the Malvern Hills, but could no longer visualise where. Tony and Russell were ahead of me, and I remembered that; I started calling for them since I was conscious something had happened to me. We came down off the track and cycled back to the pub along the road. I still had no real idea where I was. I was cold. In the pub I warmed up and drank a pint of water. I knew I had been working at home all day but could not recall what I had been doing. I tried to visualise what my house looked like inside and failed. Tony took me home in his car – from the pub to home is 20 minutes fast downhill, but I would have frozen with the damp and cold. I got in the bath to warm up, my lips were blue and I was still disoriented. I promised my wife I would go and see the GP in the morning.

I was especially concerned because the following Saturday I was supposed to fly to Brazil to take part in a summer school, and doubted whether this would now be a good idea. My GP thought it no big deal – if, she said, this was “the holiday of a lifetime”, the risk was worth taking. I might be a bit uncomfortable as my brain swelled during a 10 hour flight in a low pressure cabin, but hey! life is an adventure. She said she had recorded it all “for the insurance”, and I wondered: whose?

I immediately decided it would be a very bad idea to fly to Brazil.

Lessons learned: Matt at Detour looked at my tyres (Racing Ralphs) and sucked his teeth – these are for downhill racing, really, he said. He sold me a set of Hans Dampfs, which have certainly slowed me down slogging up to the Hills since I run them at 24/28 lbs, but which have transformed the bike through mud and loose stone. Magic Marys would be ideal, but even slower climbing, and there is a lot of that in the Malvern Hills. I fitted flats instead of SPDs. Although it was not the cleats that were the problem, I had cleanly detached from the bike mysteriously backwards and landed on my back. I bought a new helmet.

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