Surfing fit

It’s a stunning Cape Town summer’s day. It’s been a long week and the sole thing on your mind is to go for a surf with your favourite surf buddy. The first wave feels awesome.

But suddenly, there is a piercing shriek. Has someone spotted a shark? You turn around to see your good friend bleeding from her mouth, one of her front teeth missing.

These things do happen to unlucky surfers, and what you do next could decide whether your friend will keep her natural smile. Knocked out teeth can be reattached and last their owner a lifetime. But only if these simple steps are followed.

What should be done to keep your tooth?

1) Locate the tooth. Be calm, but act quickly. Time is of the essence if the tooth is to be saved. If the tooth has been lost in the ocean, there is not much to be done. But usually a board will knock a tooth into the mouth. However, a swallowed tooth is a lost tooth—digested teeth are not good for replanting.

2) Now head for a dentist. Take care to transport the tooth correctly. The tooth’s own socket is the perfect place to do this. However, if the patient’s mouth is sore or swollen this can be impossible. In that case you should place it in milk, saline solution or saliva (that is, keep it in your mouth).

3) Most importantly, make sure that the root of the tooth does not get damaged. Pick up the tooth by the crown only, and do not wrap it in tissue or cloth. This destroys the sensitive cells around the surface of the tooth’s root which means it cannot be replaced. This is very important!!!

If you get these things right and reach a dentist within 30 min there is a 90% chance your friend will keep the tooth. If you get there within 90 minutes the chances to keep the tooth shrink to 65%.

Your Cape Town dentist will take things from here. With the right dental treatment these avulsed permanent teeth can be successfully treated and continue to function for a lifetime.

I found myself staring at the ultra sound screen in disbelief. The screen was mainly grey, in the middle of it, however, was a bright red area that looked like the epicenter of a storm on a swell chart. What I was about to hear would change my life forever. I saw my doctor’s mouth moving but I was only taking in fragments. I had a lump in my right breast. My life as I knew it would be placed on hold, but I would get it back in six months, after operation, chemo and radiation . Yes, I’d lose my hair, but I wouldn’t lose my breast. They might have to take out lymph nodes and this might make my arm swell up. I interrupted: Will I survive? Will I be able to surf?

First chemo shot

I was back in the water ten days after my op. With a five centimetre cut under my arm and a really sore boob, followed by my close friends, I paddled through the head-high shorebreak in Table View, determined to make it work. Getting into my wetsuit was painful – getting out even more so. I realized after the first set that I shouldn’t be in the line up AT ALL. I wasn’t able to paddle or duck dive properly and I was lying on my poor breast that had just gone through major trauma. I realized I was in trouble. My best friend finally paddled a discouraged crying former version of me out to the beach. I had asked ask my oncologist if I was allowed to do water sports though.

Before my first chemo, four weeks after my op, I snuck out of my friend’s house where I was staying and went for a dawnie in muddy Muizenberg water. Like many times before the ocean washed my tears away and I was ready for what was about to happen.

Initially my chemo was every three weeks. Milestones became important. I had to schedule my life according to my chemo shots. During and straight after the shot I would be tired and sleeping from the happy pill that I insisted on every time I went. Then I would be awake the entire night due to the steroids to suppress

any allergic reaction from the Red Devil (Taxol, given to breast cancer patients is red and evil, hence the name.) Never before had I got more work done: I was able to work through the whole night. The first two weeks I experienced bone pain, nausea, diarrhea, hormonal roller-coaster and a general feeling of not-happy-in-own-body and body-gone-autopilot.

My surfer blond hair started falling out ten days after my first shot, as promised by my doctor. I needed to hold onto it at least for a couple more days, because I had been invited to a wedding and I wanted to look stunning in my very feminine Versace dress. A couple of days later my friends shaved it all off with the dog clippers!!!

The name says it all - this type of chemo is called "Red Devil"

I stayed with friends during my chemo – for company and so that they could make sure I was eating properly. I would stay at home to work or watch the Simpsons and I looked forward to the times my best friend fetched me for water gymnastics. There we were, two 30 year-olds, giggling away and bobbing up and down amongst a bunch of grannies and people on rehab from serious motor cycle accidents. Surfing was not an option. I only had one weekend every three weeks where I would almost feel like the old me. The weekend just before my next shot, I used it to surf, looking forward to it like a dolphin to the sardine run.

Changing in the parking lot becomes a stunt. To hide my loss of hair I surfed with a hoody; thanks to the cold water, I got away with it. I wanted to surf and enjoy myself, not raise awareness for breast cancer. I was slow, suffered from “chemo brain” (chemo makes you a bit of a numb-brain) and I had lost a lot of weight, mainly muscles. Although my surfing was the crappiest it’s ever been, I enjoyed every minute out in the ocean and felt grateful to be feeling well enough to join my friends who showed endless patience and cushioned me wherever they could.

Bernie and I initially trained together at Sea Point pool, swimming lengths. We raced each other: breast stroke, doggie paddle, freestyle. She was recovering from bilateral hip replacements. I was recovering from breast cancer and lumpectomy of right breast. During those early morning summer swims we became close friends, sisters in crime. We had both been shaken and learned that we were in fact human. This experience had made us aware that the important people in our lives still love us or love us even more for being vulnerable.

Today almost a year later I feel happy and grateful for having made it. “Rocks are our friends,” an expression I heard a more seasoned surfer say years ago when I paddled out at Vic Bay for the first time, became my new motto. Although I can’t say I enjoyed the experience at the time, 2010 was the best motivational book I have ever read. I have been transforming since into what I call the new me. Sometimes it makes me smile because I don’t even recognize myself any more. I realize a lifetime is short, if you want to say something to someone say it, if you want to do something get on with it now. Your friends and family are the most important things you will ever have. They are the reason why you feel so contained, happy and loved. Look after them.

Sisters, here is my advise: Appreciate your boobs, show them off, tan topless, surf topless -check them at least once a month or for a even more enjoyable experience, train your partner to check them.

Here are some interesting facts about breast cancer:

• Approximately one in almost every eight women will develop breast cancer in her lifetime.

• Asian women have some of the lowest breast cancer rates of any group in the world

• If caught early, the breast cancer survival rate is 98 percent

• If caught early enough doctors will be able to perform a lumpectomy (just the cancer cells are removed, any malignant cell that might still be there gets killed by the chemo) instead of taking of the whole breast including nipple (mastectomy)

• The best time to check your boobs is 10 days after your period

• Breast implants prevent women from feeling lumps early enough – for those of you with “boob jobs” regular checkups and mammograms become even more important

If you need any further information including a video explaining how to check your breast, check out the very well structured website of the Breast Health Foundation.

T.Y. Thank you to my loyal friends for your patience, letting me stay with you, feeding me, laughing about my jokes when I had lost my wits due to chemo brain, giving me my white blood cell injections, driving me to hospital and spending endless hours watching me sleep in my chemo chair, cheering me up and making me feel sexy when I wasn’t (pale, bald with no eyebrows or eyelashes is not sexy).

This is your life, not a dress rehearsal, live as if you mean it!

Early detection saves lives - check yourself!

It is hard to put your finger on when exactly things changed, but over time surfing has become more and more popular. The positive media exposure surfing has received has seen the sport grow exponentially. Surfing is no longer seen as a closed cult but rather as a lifestyle which everyone can enjoy. Surfing has also become more accessible due to the advances in surfboard design, which make surfing easier and more enjoyable for novices. This surfing revolution has resulted in a wider spectrum of surfers ranging right from the pro-surfer to the once a week social surfer. And the one thing they have in common is that they are all jockeying for a spot in the line up.

You only need to look at the crowds that turn up at your local surf spot to realise that surfing is becoming ever more popular. Especially with individuals who previously would not normally have ventured out into the water. Two particular population groups that have really blossomed are females and the over 50’s. It is fantastic to see so many women getting out into the water to get safe and healthy exercise in a previously male dominated territory.

Surfing itself is great fitness, as it conditions the entire body. A surf session will not only give you a cardiovascular work out, but a strength conditioning and core training session as well. Furthermore, it is an antidote to the modern way of life. The working adult spends far too much time sitting and stressing. Surfing offers the opposite. It promotes back extension to counteract the detrimental affects of sitting. And it is in an environment where you can switch off and relax without stressing about your worldly woes.

It may take some time to master surfing if you are a complete novice, but practice and additional exercise conditioning can help. Strengthening your upper body will help with paddling strength and technique. While conditioning your lower body will improve leg strength and agility. A Biokineticist or Personal Trainer can help get you fit for surfing by designing an appropriate strength and conditioning programme. An exercise programme for surfing will normally consist of: Strengthening the back extensors, shoulders and legs; Core stability; Flexibility; and Plyometrics for explosive pop-ups.

The nature of sport is that you can get injured. Exercise conditioning can prepare the body for return to sport post-rehabilitation (post injury) but it can also help in preventing injuries as well. Surfers can have acute (traumatic/sudden) injuries or develop long term over use injuries. Acute injuries normally occur when there is a collision (body -vs- board, body -vs- sand, or body -vs- body) or a spectacular wipe-out. It is not wise to ignore traumatic injuries and if pain persists then you should seek medical advice. Overuse injuries can develop as a result of an ignored traumatic injury, poor technique, or muscular weakness. Both types of injury will take time to heal but can benefit from a carefully structured rehabilitation programme.

Exercise conditioning is not only beneficial for the beginner, or injured, surfer but also for elite or competitive surfers as well. Over time the increase in media exposure and sponsorship has changed the nature of high performance surfing. The foundations laid down by the surfing hero’s of the past have paved the way for a new kind of surfer who commands respect in the sporting world. Elite surfers are now considered to be highly conditioned athletes rather than seasoned “beach bums”. The advent of the athletic surfer has resulted in a number of changes. There is now a lot more consideration into the planning and conditioning of a surfer. It is no longer adequate just to surf. Diet, psychology, and exercise conditioning all have to be factored into a carefully structured routine. A surfer’s performance can be vastly improved if a holistic approach to elite surfing is considered rather than just surfing in isolation.

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