{"id":368715,"date":"2019-05-13T05:00:18","date_gmt":"2019-05-13T12:00:18","guid":{"rendered":"https:\/\/www.swimmingworldmagazine.com\/news\/?p=368715"},"modified":"2019-05-12T14:00:56","modified_gmt":"2019-05-12T21:00:56","slug":"nathan-adrian-ready-for-racing-return-after-testicular-cancer-battle","status":"publish","type":"post","link":"https:\/\/www.swimmingworldmagazine.com\/news\/nathan-adrian-ready-for-racing-return-after-testicular-cancer-battle\/","title":{"rendered":"Nathan Adrian Ready for Racing Return After Testicular Cancer Battle"},"content":{"rendered":"

Becoming an elite athlete requires focus and dedication to a systematic training plan. Everything gets mapped out, from the timing and duration of exercises to what foods will best prepare the human body for peak performance. Nathan Adrian<\/strong> has lived by that mantra for a decade\u2014but five months ago, he received news that threw his entire life for a curve.<\/p>\n

Adrian\u2019s dedication helped him become the sprint freestyle rock for the United States, and he has remained in that role since 2009\u2014until this past December, when some pain and swelling sent him to his doctor, who in turn sent Adrian for an ultrasound. Days later, Adrian received the news that made any training plans trivial by comparison.<\/p>\n

He had cancer, specifically testicular cancer<\/a>. And naturally, when he heard that dreaded c-word, he thought the worst.<\/p>\n

\u201cYou get a diagnosis of cancer, and the immediate thing is obviously thinking death,\u201d Adrian said. \u201cThere\u2019s no doubt about it. I don\u2019t want to sugarcoat that. I would be doing a disservice to anybody reading this article that may in the future get that diagnosis to pretend like I ignored that.\u201d<\/span><\/strong><\/p><\/blockquote>\n

Sure, the odds were slim that testicular cancer would prove fatal for an otherwise-healthy, 30-year-old Olympic swimmer still at the top of his game. But that trying month forced Adrian to think (a lot) and to evaluate his life on a broader scale. And despite the ever-present support from those closest to him, to feel helplessly alone.<\/p>\n

\n

Surgeries and the Aftermath<\/strong><\/h2>\n

Weeks after he first noticed the lump labeled \u201ccancer until proven otherwise,\u201d doctors performed an orchiectomy, removing Adrian\u2019s infected testicle. And then he waited\u2014and waited. Following that surgery, a pathology report typically arrives within seven to 10 days. Instead, the Christmas and New Year\u2019s holidays delayed that.<\/p>\n

Finally, a CT scan that could have proven Adrian cancer-free showed evidence of possible trouble in lymph nodes. Doctors gave Adrian options: go on active surveillance and hope the situation doesn\u2019t deteriorate, begin preventative chemotherapy or more surgery. Adrian chose the third option: a non-invasive laparoscopic RNLND surgery conducted with the aid of a Da Vinci robot<\/a>.<\/p>\n

That night, Adrian got up to walk, but he barely made it halfway down the hall before getting winded. He went home the next day\u2014compared to the average two-or-three-day hospital stay following that surgery\u2014but he wasn’t out of the woods yet.<\/p>\n

\u201cMy body was bloated and feeling terrible,\u201d Adrian said. \u201cI couldn\u2019t lift more than like 10 or 15 pounds for three or four weeks after surgery because we wanted to reduce the risk of a hernia. I had to be on this horrible, nonfat diet because when you eat a lot of fat, it stimulates the lymphatic flow, and when they remove lymph nodes, there\u2019s going to be an empty lymph channel that they clip off.\u201d<\/p>\n

\"nathan-adrian-hallie-golden-gog-2017\"

Adrian and his wife, Hallie — Photo Courtesy: Annie Grevers<\/p><\/div>\n

Adrian had never struggled to adhere to a diet before, but a limit of 20 grams of fat per day\u2014\u201cThat\u2019s like a tablespoon of olive oil,\u201d he said\u2014meant that he was never satiated. He remembers finishing meals, still feeling hungry and \u201ctwiddling my thumbs.\u201d<\/p>\n

During that entire stretch, Adrian felt completely cut off from his normal routine. A professional swimmer for eight years, the routine has hardly changed: go to swim practice and dryland, work on recovery, handle sponsorship obligations and side projects. Now, all of that stopped so he could try to get himself healthy.<\/p>\n

Adrian\u2019s wife, Hallie<\/strong>, was with him through the entire process, and his mother, Cecilia<\/strong>, and his father, James<\/strong>, visited at different points. Adrian also credited his in-laws and even his Cal teammates and coach, Dave<\/strong> Durden<\/strong>, for helping support him. Still, Adrian spent plenty of long hours idle by himself. And when humans are idle, they think\u2014too much.<\/p>\n

\u201cYou think the worst. Maybe I am done swimming, and we have to work on finding another career after this,\u201d Adrian said. \u201cMaybe we have to do chemotherapy. That definitely is going to put a huge damper on this summer. That might still affect me next summer. Where we have aspirations of being on the podium as an individual, you\u2019re going to have to taper those back if you go through chemo, something that is literally poisoning your body for three or four months.\u201d<\/span><\/strong><\/p><\/blockquote>\n

What if the months dragged on and Adrian was still getting winded going up stairs? What if he did have to undergo chemotherapy and that affected his future ability to have kids?<\/p>\n

\u201cThere were ups, and there were downs,\u201d he said. \u201cThere were tears and very, very sleepless nights. All of the above. I don\u2019t think I do it justice, really narrating my own story. Honestly, it\u2019s really, really exhausting to relive. It\u2019s hard, man. It was a really hard time.\u201d<\/p>\n

\n

Adrian\u2019s Chlorinated Medicine<\/strong><\/h2>\n

\u201cI think there\u2019s certain moments in your life that you\u2019re always going to remember forever,\u201d Adrian said. For Adrian, one of those came when he told Durden that he had cancer, shortly after his initial diagnosis, but before the orchiectomy.<\/p>\n

\u201cI purposely went to practice early that day and just walked in his office hoping I would catch him. I walked in, closed the door and said, \u2018Hey, man. I\u2019ve got something to tell you.\u2019 Told him, and he was super supportive, as he is with pretty much everything. His first question is always\u2014whether or not it\u2019s cancer or a young athlete coming to him and telling him any sort of news\u2014\u2018What can I do to help, and what can I do to support you?\u2019\u201d<\/p>\n

\"nathan-adrian-usa-2-2017-world-swimming\"

Photo Courtesy: SIPA USA<\/p><\/div>\n

Adrian\u2019s answer: not much. But just by holding regular workouts for the Cal men\u2019s team preparing for the Pac-12 and NCAA Championships and for Durden\u2019s sizable cadre of professionals, Adrian had a place he could go where things would seem normal\u2014\u201ceven if they weren\u2019t normal.\u201d<\/p>\n

Between the diagnosis and surgery, Adrian kept showing up at practice. Two weeks after having his first surgery, once the incision had healed up enough, Adrian went back to practice\u2014not necessarily for his normal routine, but for some volume, 3000 or 4000 yards of swimming at a not-too-stressful pace to maintain fitness.<\/p>\n

Adrian credits his physical condition to helping him recover quicker than doctors expected from his procedures, but that wasn\u2019t the point of all the swimming while he still had medical obstacles to overcome. Swimming became his emotional medicine, helping keep Adrian calm and levelheaded.<\/p>\n

\u201cIt was as predictable as day and nighttime,\u201d he said. \u201cI knew if I went to practice and when I went to practice, I would feel better doing that, and I would feel better for several hours after that. It was kind of an endorphin rush. It was absolutely very, very real for me and very, very helpful.\u201d<\/strong><\/span><\/p><\/blockquote>\n

\n

Normal Life, Again<\/strong><\/h2>\n

After successful surgery to remove his lymph nodes, Adrian\u2019s treatment was finished. His scans were clean, so he started active surveillance\u2014blood tests every two months and an MRI every three months for the foreseeable future. Now, regular life\u2014and swimming\u2014beckoned<\/a>.<\/p>\n

Full steam ahead right away? Not exactly, no, though Adrian pointed out that \u201cafter doing this for so long, day one when you get back in the water is full steam ahead in terms of working as hard as your body will let you work.\u201d But Adrian\u2019s body wasn\u2019t quite ready to cooperate yet.<\/p>\n

His weight was down under 215 pounds, compared to a normal training weight between 225 and 230\u2014\u201clighter than I had been in probably 10 years.\u201d Once he could finally eat a diet with a normal quantity of fat, Adrian tried to regain the muscle he had lost, but the required calorie surplus meant he added more body fat than desired.<\/p>\n

\"nathan-adrian-interview-pss-mesa\"

Photo Courtesy: Brooke Wright<\/p><\/div>\n

Perhaps most annoying were the imbalances Adrian felt for weeks after surgery. While the right side of his body was operating mostly normally, he could not flex core muscles on his left side.<\/p>\n

\u201cYou hunker down, you flex your abs, you look down, and they\u2019re all flexed. They\u2019re all firing at the same time,\u201d Adrian said. \u201cI would send those same signals from my brain to my abs to flex, and my left side would be super soft. They just wouldn\u2019t go. I couldn\u2019t figure out, \u2018How can I make these stupid abs flex?\u2019 They just wouldn\u2019t do it.\u201d<\/p>\n

As if it were the start of a fall season, Adrian and Durden built the training progressively: Just afternoon practices in week one, adding a morning practice in week two, then ramping up the volume and adding in more quality work. Adrian still feels some imbalances, but he now trains without restrictions.<\/p>\n

\u201cI\u2019m not worried about getting a hernia or causing other issues in my body now\u2014which is a great feeling, because when you lose it, it really, really sucks,\u201d he said.<\/p>\n

\n

Back on the Blocks<\/strong><\/h2>\n

Last year before the cancer, Adrian qualified to race the 400 free relay for the U.S. at the World Championships in Gwangju, South Korea, and also to compete individually at the Pan American Games in Lima, Peru. The cancer threw those plans into question, but Adrian has every intention of making both trips.<\/p>\n

\"nathan-adrian-\"

Nathan Adrian at U.S. Nationals in 2017 — Photo Courtesy: Peter H. Bick<\/p><\/div>\n

That said, he\u2019s realistic. Should his routine scan and blood draw scheduled between now and July come back with an issue, it\u2019s back to square one. His next step would be chemotherapy. For the foreseeable future of active surveillance, that\u2019s a reality that Adrian will live with.<\/p>\n

Now, he\u2019s ready to compete again<\/a> for the first time since Winter Nationals in early December. That\u2019s the second-longest racing layoff Adrian can remember taking, behind a seven-month break following his third Olympics in 2016.<\/p>\n

\u201cI remember very vividly how, after 2016, I took the longest break from competing I had taken, I don\u2019t know, pretty much ever,\u201d he said. \u201cIt was like, \u2018I don\u2019t know what this is going to be like.\u2019 I remember very vividly, it was like, \u2018Oh, I do have my process. I do have my own routines.\u2019 But you get nervous. And you get nervous in the best way, that nervous energy telling you that you\u2019re ready to go.\u201d<\/span><\/strong><\/p><\/blockquote>\n

At the upcoming TYR Pro Series in Bloomington, Ind., Adrian will return to a scene so normal for him\u2014a 100 freestyle off the blocks in a racing suit against typical competition that will include past international relay teammates\u00a0Blake<\/strong> Pieroni<\/strong>, and Zach Apple<\/strong>.<\/p>\n

Normally, that\u2019s a task so routine, so mundane. Now, after the health saga of the past five months, Adrian has no idea what it will feel like.<\/p>\n

\u201cThrough a lot of this, a lot of things become a little bit more emotional\u2014the idea that this was almost taken away,\u201d Adrian said. \u201cI promise you, I feel like I tried to do the best job that I could to appreciate every single day as I was living a very wonderful life as a professional swimmer, but now it means so much more.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Becoming an elite athlete requires focus and dedication to a systematic training plan. 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