Showing posts with label altitude sickness. Show all posts
Showing posts with label altitude sickness. Show all posts

Friday, May 17, 2013

Into the wild

Finally out of the city!
After the thick urban haze of Kathmandu, we were really excited to get out of the city and start trekking through the Himalayas. We had found ourselves a fantastic local guide named Karma Mustangi (you can contact him at karmakurt@hotmail.com to organize your own adventures) and a super cool porter named Monaz. With Karma's help we mapped out a 33-day itinerary that included the fabled Annapurna Circuit, the secluded kingdom of Upper Mustang and the epic views of Annapurna Base Camp (aka ABC).

Our team assembled, we piled into a small sedan and started the drive from Kathmandu to the trail-head at a small town called Besisahar. But it wasn't smooth sailing as of yet: we spent most of the six-hour drive trying to pass massive Indian-made cargo trucks belching exhaust on two-lane twisty mountain roads. Finally we arrived (albeit with a massive headache from the pollution) and ate lunch in Besisahar before lacing up our boots and setting out.

Over the next few days we hiked up a river valley that wound its way up the west side of the Annapurna mountain range. It was hot but at least the air was mercifully clear and fresh. A single lane unpaved dirt road ran up one side of the gorge but we often took goat trails up the opposite side. Plant life burst forth from every surface and the greens were almost blindingly vibrant. Tiny villages were sprinkled along the sides of the valley and as we passed local kids would run out calling, "Hellopen!!!" Many trekkers bring pens for the kids to use in school so they've combined "hello" and "pen" into one word. The villagers were subsistence farmers who were busy plowing their rice paddies with oxen.

High altitude agriculture
We passed a bridge being constructed over the river and noticed that the construction machinery and managers were Chinese. Karma explained that although India supplies the vast majority of Nepal's aid (in addition to oil and electricity), China is now jumping into the fray. This has apparently resulted in an escalating "Nepalese foreign aid war" between China and India, both vying for influence in the country sandwiched in the middle.

Along the way we stayed in 'teahouses," extremely basic guest houses that host trekkers in the region. As we climbed higher up the valley the temperature eventually dropped and the environment became more rocky and alpine. We visited a beautiful lake and were surprised by a flash hail storm. After a day or two more the dirt road ended and we were left with only the rugged foot path. We passed through huge glacier-carved valleys as the Himalayas rose up around us.

Nepal is a country of unparalleled scale. Words and pictures just can't capture how friggin' huge everything is. Massive glaciers pouring down into rushing rivers, row after row of breathtaking mountains marching off into the distance, meter after meter of elevation gain...

Tibetan Buddhist prayer stones
By this point in the circuit some of our fellow trekkers were slowing down and starting to suffer from altitude sickness. You just never know who it will hit. Career guides are just as vulnerable as first time hikers -- apparently, there is no true medical explanation for this 'phenomena'. We weathered a snowstorm and hid in the tea-houses to avoid the freezing night winds. We spotted the endangered blue sheep effortlessly scampering across cliffs with thousand foot drops. We sipped masala chiya (Nepalese chai tea) and slurped down potent garlic soup.

Almost two weeks into our trek we finally were nearing our goal for the first section: Thorong La pass. At 5416 meters (17,769 feet) it was the highest pass Andrea and I had ever attempted. It allows travelers to get around the northern edge of the Annapurna range and it happens to be the widest pass in the world. As we trudged up towards it we were passed by group after group of hikers headed the other way, defeated by the combination of thin air, steepness and altitude. Every day emergency helicopters would buzz over our heads, rescuing those unable to make their own way back to civilization.

Our goal, Thorong La, finally in sight
We fought our way up one last, nearly vertical escarpment to reach the final tea-house before the pass. After a nearly sleepless night (Eliot saw jackals near the bathroom) we left at around 5 A.M. with headlights to make our way through the snow. Even with long underwear, thick pants, wool socks, a quick dry shirt, a long sleeve shirt, a fleece, a down jacket, a windbreaker, gloves and wool hats - we were freezing! The sun finally peaked out over the ring of peaks around us. Eliot was leading our little team up a ridge when suddenly his vision disappeared into a kaleidoscope of stars, his stomach clenched into a knot that would do a sailor proud and nausea tsunamied through his system. He stumbled and then collapsed into the snow. We hadn't escaped altitude sickness after all...

The best way to describe the experience of altitude sickness is that it's almost like the feeling you get at the end of an extremely fast sprint when your entire simply rebels and you want to puke and collapse in a twitching mess. Imagine that plus the fact that the feeling does not stop. It just goes on and on and on until you go to lower altitude, or die.

Success!
In our case we turned around and stumbled back down about one hundred meters of vertical height. After about thirty minutes of recovery we attempted the climb again. The second time turned out to be the charm and we reached the peak of Thorong La about an hour later. The top was absolutely spectacular with tremendous views of the Himalayas on all sides and a snow pack so deep that it had buried the sign at the top.

After a break at the top to take pictures and relax, we grabbed our gear and crossed the pass, ready for the long way down and our next adventure into the hidden Kingdom of Lo...


Co-posted on www.eliotpeper.com


Some additional pictures from the trek:

River valley leading to Annapurna

Prayer flags decorate every village


Chah!

Crazy erosion on the cliffs

Glacier melt at Tilicho Lake in Manang



The doctor is in!

Epic

Our awesome porter Monaz carried both of our backpacks and barely slowed down



Thorong La pass

We made it!


Prayer Flags at the pass

Altitude sickness survivor
Happy to be back in nature


Tuesday, May 7, 2013

Garlic breath, Garlic sweat


Hey garlic lovers! How much garlic can you eat in a week?

I love garlic! My answer would be: there is no limit! Right? After eating it every day for an entire week and reeking of garlic 24/7, maybe there is a limit.

One of my favorite things about cooking is sauteeing garlic in olive oil just so that wonderful smell can fill in every square inch of the kitchen. One of my favorite things to eat is food with plenty of garlic plus you get the added health benefits such as cancer prevention, lowering risk of hearth disease and removal of toxins in the blood, especially for women. I was happy to find that most dishes we ate in Nepal had generous amounts of garlic: the stuffing in the momos had minced garlic, spinach was often stir fried with garlic, many curries had crushed garlic and many of the Dal Bhat side dishes also had garlic. I was very excited when we found out that one of the natural methods for altitude sickness prevention was eating lots of garlic.

Altitude and Garlic
All the guides we spoke with preferred eating garlic soup or drinking garlic water over taking medicine to try to prevent altitude sickness. On top of all the health benefits, this was a great added bonus! Since we were about to go up to more than 5,400 meters and I just so happened to love garlic, I immediately signed up for the ultimate garlic diet.

On the way up to 5,416+ meters to cross Thurong La Pass

All of the guesthouses and restaurants along the trek offered garlic soup and I started ordering it a week before we were due to cross the world's widest pass, Thurong La. This soup is serious business: it is loaded with garlic and definitely leaves you with a great dragon breath that lingers on for a while. Sometimes they would serve it creamy style and sometimes it would be just salt, boiling water and garlic. 

A nice carbo-heavy lunch (yak cheese sandwich and rosemary potatoes) with a healthy dose of garlic soup

The sacrifice: smelling a little bad...
After a few days of having garlic soup, I definitely noticed that the smell was just not going away and I am convinced that even my sweat smelled like garlic. About four days before the big day on the pass, I got really sick and had an awful cold with an intense sore throat. On top of garlic soup, I now carried hot water in my bottle with about a half head of crushed garlic. I definitely reeked now but it made me feel a little better and I tried to stay positive by reminding myself that I wouldn't get altitude sickness if I just kept up my garlic consumption. I'm not sure how Eliot and I managed to still stay close to each other 24/7 during that week but I think it's a good sign for our relationship!

Crushed garlic inside our Nalgene - it took about a whole month to get rid of the taste

A true cure for altitude sickness? 
The true test to this supposed miracle medicine began 48 hours before the crucial ascent. We had a ridiculously steep 300 meter climb from Low camp to High camp, at almost 5,000 meters altitude and Eliot started feeling some of the effects of the altitude. It took us almost two hours to go a very short distance and once we got to High Camp, Eliot felt awful. I was tired but felt fine and had some garlic noodle soup while Eliot opted for a tomato soup for dinner. Aside from shortness of breath, I was surprised at how 'well' I was feeling.
The big day arrived and we started the climb to the pass at around 5:30 am. I was freezing but I kept a steady slow breath and kept my garlic water with me. In spite of taking Diamox (legit, chemical medicine used to prevent altitude sickness at least a few days prior to being up in high altitude) in addition to the garlic diet, Eliot had an awful time and became a victim of the altitude, losing his vision and all. It was very scary as we were on a very snowy and narrow part of the trail (a foot and a half wide at most) but we managed to climb down a few meters and rest a bit so he could recover.

The amazing Thurong La Pass (finally!)


50/50 success
We crossed the pass successfully in spite of the altitude sickness and were very happy once we started the slow descent. Although Eliot felt the wrath of the high Himalayas, I still never felt even the slightest headache.

Would I rather smell a little (okay, okay a LOT) bad or a little better? In the end, I choose smelling bad over better: consuming all that garlic definitely made it worth it for me, even though it felt like garlic was oozing out of my pores. The miracle drug -- garlic, that is -- worked wonderfully for me (even just as a placebo!) but was way less effective for Eliot. Although I was spared, I really hope I don't ever have to eat that much garlic again.

I still love garlic but I definitely prefer moderation over extremes with this potent veggie!