The RAAM start line is a daunting place, especially for a relative newcomer to endurance racing. I had never raced in these kinds of severe climates – desert heat, high altitude. I knew anything could happen but I had no idea I would end up in hospital at the top of Wolf Creek Pass with altitude sickness that nearly cost me my life. Defeat is always a possibility but I had not suffered such a crushing one before. It was profoundly humbling. It took me a long time to integrate the lessons of RAAM but I am so glad I did.