So every morning Powell's body tells him to stay in bed, and every morning he fights it. Instead he takes 10 pills a day, eats anti-inflammatory foods, rewards himself with the occasional apple for a sugar rush and focuses on attainable goals. "My life has become relatively small," he says. "I coach wrestling and love my wife." He pauses. "I don't have much hope of being in remission for 20 years, but there's not a day that I'm not up for the fight."
These days Powell can barely complete five push-ups. If he makes it through a quarter-mile walk, he is pleased. Last week he completed two pull-ups.
He is, his wrestlers will tell you, the strongest man they know.