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eCard #113 – A < Lovely > Walk in the Khumbu

November 24, 2023 2 comments

Readers may recall that my adventure to the Khumbu Valley of Nepal (eCard #105) with the goal of summiting two somewhat technical 6000m peaks (“The Khumbu Classics”) in April of this year was thwarted with some sort of respiratory issue, probably exacerbated by the altitude. I ended up descending from the base camp of Island Peak breathing from an oxygen cylinder. In addition to not reaching the summits of either Lobuche or Island Peak, many of the sub-goals of that trip were unattained – reaching Mt Everest base camp, climbing 5500m Kala Patthar to get views of Everest, and walking in the Khumbu icefall above base camp. Oh, well.

You may also recall at the end of that trip description I expressed little interest in returning, closing with, “Never say never, but I need some time to forget.”

During the summer, not really certain that it was just a health issue holding me back in Nepal (or at least feeling I needed to prove it to myself), I executed a rather busy plan geared toward rebuilding some confidence in the mountains – 4000m peaks in the Italian Alps, walking the Haute Route (with it’s many ups and downs), walking the hills of the Balkans, summiting the 7th highest peak in Europe (Tetnuldi in Georgia at 4900m) and finally trekking to and climbing Kang Yatse II (6150m) in the Indian Himalaya. Oh, and conquering the occasional pastry enroute.

I hadn’t confirmed the trip to India until the end of July – I waited to see how I fared in the Alps and the Haute Route. I still had a bit of trepidation as I hadn’t been above 4300m. But in India I would be climbing again with Rolfe who has become a cheerleader of sorts for my “Seven 7ths at 70 project”. And, lo and behold, India worked out great. I felt really strong all the way to the summit. OK!

Rolfe understood my dislike of leaving projects unfinished, and while in India we had talked about my returning to do the “Khumbu Classics”. Seeing me off at the airport in Leh, he said, “See you in Nepal in October!” …. I guess it took just 5 months to forget.

It’s a Small World, Part I

Our group of 21 (!!) were the first to the airport in Ramechhap, well before sunrise for our flight to Lukla – hoping to be in the front of the queue to get out. Amidst the crowd that eventually formed, I ran into Nema Sherpa from the India trip – the lead on my rope to the summit. He was doing a trip with another outfitter.

Also in the crowd was a real celebrity, though I didn’t go up to meet him. It was Kami Rita Sherpa who summited Mt. Everest for the record 28th time in May (his 27th ascent was one week earlier…). Makes you feel like a real slacker.

Trekking Day 1 – Lukla to Phakding

Arriving in Lukla, we had a late breakfast and then hit the trail. The first thing that I noticed was how many more people there were trekking this route in the fall than there were in the spring. It poured during the day and we mostly dried out by the time we arrived at the tea house in Phakding.

Marching out of Lukla. The suspension bridge crossing the Dudh Koshi to Phakding.

Warming up in the dining room that evening I ordered meat momos for dinner – a Tibetan/Nepali dumpling. When mine arrived I bit into one which had that taste you get when you bite into a wormy apple. It was not pleasant. I asked if anyone else had ordered the meat momos, and one of the trekkers said, “Yes. They’re lovely.”

Wait.

Stop.

Just stop right there.

Lovely? A momo?

My dictionary offers the following:

     lovely /lŭv′lē/
     adjective

     1. Beautiful especially in a pleasing or charming way, particularly reserved to describe young women. 

     2. When used in sarcasm to describe something which is decidedly not lovely, and the only authorized use for the word when not referring to young women.

So, no item of food can be legitimately described as lovely. It just doesn’t work. Among many possible descriptors, a momo can be good, tasty, delicious, yummy, scrumpdillyicious, or, as in the case of the one I bit into, foul. But lovely?

No.

An illustrative example will help clarify this self-evident issue. Below are two photos. The photo on the left is of a Nepali/Tibetan momo. On the right is Japanese K-POP singer Momo of Twice.

Questions?

In writing, voice inflections which make sarcasm easier to spot are difficult to ascertain. Adhering to the strict definition as indicated above, sarcastrophes should not be necessary, but to be crystal clear, one should write, for instance, “That Big MacTM was <lovely>” .

The comment over dinner that launched me on this came from a Brit. They are routinely overheard squealing about lovely cups of tea. It’s no wonder they lost their empire.

In a loosely related subject, there are a few idioms we use in English to describe dressing things up with varying levels of success. For instance, to “gild a lily” is to add unnecessary ornamentation to something already beautiful. It may also have the connotation of ruining the object in the process. (Apparently, the origin of this is a misquote from Shakespeare’s “King John” who described the unnecessary acts of gilding refined gold, painting lilies, perfuming a violet, or adding another hue to the rainbow.)

“Putting lipstick on a pig” means trying to dress something up that can’t be hidden. With or without lipstick, you still know it’s a pig. Archaic versions of this include, “A hog in a silk waist coat is still a hog,” and, “you can’t make a silk purse from a sow’s ear”. I don’t know why pigs have been held up as quintessentially ugly throughout human history. Piglets are kinda cute, though never lovely.

At left, still a pig; At right, still not lovely.

I have been searching for a good phrase to describe the process of beautifying something ugly and in the process making it worse. I’m thinking here of tattoos. The Germans have a compound word, verschlimmbesserung, which means roughly to worse-improve, maybe the English equivalent would be disimprovement. But we need a good idiom, preferably one that involves pigs. I’m open to ideas.

Back to the trek.

Trekking Days 2 through 8 – Namche to Thagnak

The walk to Namche (3440m) follows the Dudh Koshi (Milk River) – that drains the southern side of the Everest massif. You cross the river several times on suspension bridges with the final crossing on a high bridge and then climb 800m to arrive at the base of the town. Back in the spring, I ate up the hill and continued strong for the next week. This time, the hill was a struggle. I had no strength in my legs.

Steering a yak across a bridge. The high bridge before the hill to Namche.

This condition carried on for the acclimatization hike above Namche to the Everest View Hotel the next day. The day after that we put Namche behind us as we headed toward Gokyo. There’s a long climb up to where we had lunch, and for the last hour I had to give my day pack to one of the guides. I couldn’t breathe and had no strength. I only managed to force down half of my lunch (only the rice), the rest being completely unappetizing.

Mt. Everest Viewpoint. Everest far in the back at center. Ama Dablam at the right.

The afternoon walk up to Dhole (4200m) was a struggle. The natural assumption was that I was suffering from acute mountain sickness (AMS) and was not acclimatizing to the altitude, but my blood oxygen saturation level (%SpO2) was 92% indicating that I was acclimatizing well (mine is 96% at sea level). (Another guy on the trip was suffering and got on horse back. His %SpO2 was 30%. 50% is horrible. He was evacuated by helicopter.)

The dining room at Dhole was like an oven. The heating stove (using dried yak dung as the fuel) was stoked up and the room was crowded with other people. At dinner I was sitting next to the stove, wearing my down parka with the hood up. I was shivering uncontrollably. We couldn’t figure out what was going on. I had a light case of diarrhea. I didn’t have a headache or nausea (signs of AMS), and hadn’t had symptoms all day. We finally surmised that I probably had a mild case of food poisoning, but from where? I started a 4 day course of Cipro.

The tea house at Dohle and gathered ’round the yak dung stove in the dining room (both pics from the spring). Imagine the dining room with every seat taken and that was the fall.

The next day walking up to Machermo (4470m) was worse. I couldn’t eat at all, and it was a struggle to breathe. I was thinking of bailing out – I wasn’t having any fun. But I decided to go on the next day to Gokyo (4790m) where we would have a rest day and see how things went.

The walk up to Gokyo had some steep sections which were a grunt for me. In the spring it was clouded over and snowed in the afternoon, restricting our views. This time we had great views of 8188m Cho Oyu 30km away on the Tibetan border. I didn’t care. I barely looked up. By this point I had even thrown my camera in my day pack – I didn’t want to deal with it. I took a few photos with my phone.

Cho Oyu in the distance at center.

The ground at Gokyo was covered in snow in the spring, but now in the fall it was free of snow.

Gokyo Ri is the brown hill just left of the trekkers. Cho Oyu going into the clouds at right. The Middle Gokyo lake at left.

On our day off most of the group went to climb Gokyo Ri (5300m) while I just hung around and rested. Finally while ruminating over my illness, I remembered that momo at Phakding…. I was feeling a bit better, though the Cipro didn’t seem to have completed it’s mission. I had a course of Azithromycin with me which I started and it seemed to do the trick. But by the afternoon I was starting to develop a deep cough and chest congestion.

The next morning we started off from Gokyo to cross the Ngojumba glacier that descends from Cho Oyu. Stepping outside of the tea house I caught a whiff from the dining room stove chimney. “Blechh! That’s what’s making me sick!” The smell of burning yak dung.

Feeling a bit better in Gokyo I managed to snarf down a pastry at the cafe. Looking back while leaving Gokyo to cross the glacier with Gokyo Ri at center.

Crossing the glacier, there were lots of small ups and downs, and I was trailing behind the group on both the ups and the downs. It was a short day, but I arrived in Thagnak pretty tired, and was happy to have the afternoon off to chill out and enjoy the new respiratory sickness that was developing.

My cough worsened after dinner, and I was really starting to think about bailing out. The next day was a big one – we would cross the Cho La at 5420m. It had a very steep climb from this side followed by a long descent on a glacier.

A Tough Decision

In conversation with Rolfe we discussed some of the possibilities, and having been here before, I knew what lay before me. It would hurt going over the pass. A lot. I could be slow, no prob for the group since we had lots of time. We had oxygen with us. A guide would carry my day pack. After the pass we would drop down to Dzongla at 4835m and then it was an easy day the next day to Lobuche where I could drop out for a day or two, if needed, while the group moved to Everest base camp and back. If necessary, from Lobuche it was an “easy” evacuation by foot down the Khumbu Valley.

It was a difficult decision to make. Either way. On the negative side was the possibility of getting really sick and perhaps needing a helicopter evacuation and then being dragged into a hospital. Or, at best if I remained sick, trudging along and not realizing any of the goals I had come for as I did in the spring. I had an inclination, particularly in light of that springtime experience, to bail out now. Fighting this was my desire to go on and finish what I was here to do, along with Rolfe’s fathomless optimism (one fathom = six feet, or about 1.83m) and alternate plans to make it work. And dropping out was not all that easy – I would have to walk down for two days to Namche (where there is a medical clinic), then one more day down to Lukla, then fly to Ramechhap and bus back to Kathmandu.

I think I woke Rolfe up three times in the night with different plan B’s, C’s, and D’s. Ultimately, at about 2:30 in the morning I was awake with a cough spitting up green stuff. I called my travel insurance company in the US to see what my options were, and to put them on notice that I was going to leave the group the next day and start to descend.

Walking Out

One of our guides, Asin, accompanied me down, and he carried my duffel and day pack, and kept an eye on me. Fortunately, we didn’t need to recross the glacier to Gokyo – we skirted down below the end of the glacier on a shortcut to Machermo and to Dhole where we had lunch. (They make some pretty good soups in the region.) I was convinced to continue on for “an hour” (really two) to Phortse Tenga (3680m) , and I’m not sure whether or not I regret it. I was ready to spend the night in Dhole, and this section has the most ups and downs. But we did get it out of the way and spent the night 500m lower than Dhole. The tea house at Phortse Tenga kept the WOODstove (See “Dung Lung” below) going all night so the inn was warm. There were still some long climbs to Namche to surmount the next day.

Asin leading me down. Machermo is on the trail across the valley out of the frame to the left. The terminal moraine of the Ngojumba glacier is up to the right of Asin.

I got into the Mountain Clinic at Namche at about 1PM. The doctor had a good look at me and confirmed what I knew – respiratory tract infection – but she added to the diagnosis a mild case of HAPE (High Altitude Pulmonary Edema). She gave me a half-dozen medications including a five day course of Amoxycillin, decongestant, expectorant, cough syrup, vitamin C …

A traffic jam on the walk out. The Mountain Clinic was fresh out of pastries.

On the third day to Lukla my butt was really dragging. At one point I shook myself out of a stupor and realized I was trudging along slowly dragging the tip of my walking pole. I can’t imaging what Asin was thinking.

I felt like I was making progress when we finally started ascending Horse-Shit Hill – the place where the trail carpeting provided by pack animals changes from yak to equine. This marks the border where we were leaving Sagarmatha National Park. Not quite to Lukla, but a sign we were getting close. The path rolls up and down and then there’s one very long climb ’til you see the gate announcing your arrival in Lukla. A nice hot shower improved my demeanor.

A few of the trekkers who were taking a helicopter ride to Lukla after walking to Everest base camp arrived the morning after I arrived, and we all got on a morning flight to Ramechhap and then bussed back to Kathmandu. I hung around town for a couple of days since my climbing gear would be coming down with more trekkers later. Before heading to the airport to begin the 24 hour trip home, I popped a couple of lomotils, just to be on the safe side.

Dung Lung

I was still coughing up the last of the Nepal phlegm two weeks after getting home, and I’ve been thinking about the illnesses from the two trips I’ve made to the Khumbu region this year.

Everyone who comes to the Khumbu develops what is called “Khumbu Cough”. It is generally attributed to breathing cold, dry air. And though I have developed a dry cough at altitude before, this is different. It’s a deeper cough. And it hangs on for awhile after returning to warmer, more humid climes.

Many of the symptoms for me this spring and fall were common, starting with loss of appetite. So, loss of appetite, general weakness, shortness of breath (though my %SpO2 was 92% at Dohle and Gokyo) which in the fall then developed into a full blown lung infection. In the spring I did not develop the infection, but I did need to breathe from an O2 bottle descending from Island Peak base camp – I was so short of breath that I couldn’t speak. But Rolfe, thinking it was AMS, asked if I felt better immediately after my first breaths of O2. I did not.

So I’ve been thinking yak dung – breathing the dust and breathing the combustion products. My “realization” as I smelled the fumes leaving Gokyo sparked this. And then I found this paper, Dung Lung: Reactive Airway Disease Syndrome From Yak-Dung Biomass Fuel Smoke. A trekker in the Khumbu is described who was exposed to a high dose of dung stove fumes from a leaky stove overnight in a tea house. He experienced a quicker, more severe onset than me, but the same kinds of symptoms, and notably his %SpO2 was good at 89% at 4300m.

My conclusion is that inhaling yak dung either being burnt or perhaps breathing the dust from the trail causes the Khumbu cough. And I must be more susceptible to it than most, so it develops into a more severe respiratory reaction which then may lead to an infection. The onset came sooner in the fall than in the spring (in the spring the first symptoms started the day after crossing the Cho La. In the fall they started in Namche (though there might be some confusion with food poisoning…)). The sooner onset in the fall may be due to sensitivity from having experienced the condition in the spring.

I had no problems in India in September – no yaks. In 2022 I did a 28 day trek in the Upper Dolpo of Nepal crossing five 5000m passes and had no issues – there were no yaks. In 2019 I trekked for 26 days in Pakistan to K2 base camp and had no issues – no yaks.

I’ll be above 6000m/19,700ft/3280ftm in Ecuador and Chile in January and there won’t be yaks, so I’ll see how it goes.

It might be interesting to try an experiment back in the Khumbu. I could try wearing a particulate mask I have for when I was living in China (though I’m not sure I could trek with it). And/or a “cure” the authors of the paper tried was using an albuterol inhaler which seemed to provide near instant relief to the subject of the paper.

But I don’t think I’ll be the guinea pig…. I need time to forget.

It’s a Small World, Part II

The Kathmandu Guest House is an institution in Nepal. Everyone who’s anyone has stayed there. (I don’t think Elvis was ever there, but the Beatles were.) It’s smack dab in the middle of the Thamel section of town with it’s bustling, noisy, narrow medieval street layout lined with shops selling tat to tourists walking amid the swerving motorbikes. The KGH offers a respite from the hubub. A former princely palace, it’s a multi-building affair built around a garden where travelers congregate for food and drinks and watch trekkers and climbers with their massive amounts of gear come and go.

On the breakfast terrace one morning I kept looking at this woman who looked familiar. I finally went up to her and said, “Are you Valerie?” She was. We met on the trek in Pakistan in 2019. We caught up over lunch and I think I’ve piqued her interest in the trip to Africa…

Our group on the coffee terrace at the KGH. Lunch with Valerie.

Oh, did I mention Africa?

African Safari

As you may know, Africa is a continent. As such, it has a high point (Mt. Kilimanjaro) and also has a 7th highest point. As I’ve been able to discern, this is Mt. Emin which is located in the Rwenzori mountains which straddle the border of Uganda and the Democratic Republic of Congo. Margherita peak which is right on the border is the 4th highest point on the continent, and Emin is just over the border in the DRC.

Chatting with Rolfe in India about nabbing this 7th summit, it turns out that he has another client he is putting a bespoke trip together for in the Rwenzoris in March ’24. He contacted Bill who had no problem with my joining his trip, and the rest may be history. The details are still being worked out.

But First, an Unfinished Project to Attend to

Remember the end of 2022? The basis of eCard#103 – “Fiasco in South America”? I had done an acclimatization trek in the Atacama desert followed by a climb of Volcan Licancabur (5900m) in Chile to prep me for climbing Ojos del Salado (6890m) and Llullaillaco (at 6740m the inspiration for the “7 7ths at 70”). I got Covid on day 1 and had to quarantine for a week and missed the entire trip…. and then got sick again a few weeks later in Ecuador while prepping to climb Chimborazo (6260m).

Well, I’m going back. This time in reverse order, starting in Ecuador after Christmas and then moving on to Chile for Llullaillaco, Ojos and maybe Aconcagua in Argentina.

Stay tuned.

One Last Bit of Humor

I’ve flown through Doha, Qatar several times now. When departing you always seem to go out through a jetway to a plane parked next to the terminal. But when arriving the routine is to park the plane out on the tarmac and be bussed to the terminal. I’ve always felt we were going in circles on the bus, so this last time I recorded our GPS track. My plane was parked at the upper left of the blue track and the bus deposited us at the lower right.

eCard #105 – Himalayan Adventure

May 23, 2023 7 comments

I declared 2023 as the year of climbing after coming off of last year’s sickness fiasco in Chile and Ecuador (the subject of eCard #103). February’s success in Mexico has now been followed by sickness, again, in a Nepalese adventure – the subject before us.

The main purpose of this trip for me was to climb two “technical” 6000m/19,800ft peaks (“technical” meaning they require the use of crampons, ice axes, ascenders and ropes, and at least some of the climbing is on glaciers with their hazards). To accomplish this, I signed onto the 18 day trip “Khumbu Classics” led by Rolfe Oostra of 360-Expeditions (very highly recommended). The major and minor checkpoints of the trip (with spoilers):

Fly to Lukla (“the most dangerous airport in the world”). Check, but they wouldn’t let me at the controls.
Trek to Gokyo Lakes. Check.
Climb Gokyo Ri (5360m). Check.
Cross the Cho La (pass) (5420m). Check.
Trek to Everest Base Camp (5364m). Nope.
Climb Kala Patthar (5550m) to get views of Everest. Nope.
Climb Lobuche East (6119m). Nope.
Climb Island Peak (6189m). Nope.

My photo album on flickr (organized by day) can be found here.

This was a “tea house” trek where we walked between small settlements and stayed in guest houses. They were typically arranged with one large dining/hanging out area that had a wood stove in the center of the room, though “wood stove” is a bit of misnomer since they were fueled with yak dung. Sleeping rooms were unheated, but provided with comfy duvets, though I usually snuggled into my sleeping bag. Toilets of various design were down the hall, cold, and usually clean-ish. After Namche Bazaar, electricity was provided by solar power, and any extraordinary use of electricity (like for charging phones or cameras) was for a fee. The farther up we went, the more beer and toilet paper cost – everything is carried in by porters or yaks. A couple of places had “hot” showers for about the price of a beer (1000 rupees, or USD$8).

A tea house break with a view of Ama Dablam; Tea houses in Dhole; The dining area of the Gokyo tea house.

There were 12 of us in the group, with 7 signed on for climbing the 6000m peaks and 5 for the trekking only. Rolfe was our leader, and Raj our sirdar. Both great guys who made things run smoothly. I never got an accurate count on the number of porters we had, but roughly 6 or 7, and we began with 3 trekking/climbing guides, Addy, Nirjan and Phurba. Others were added later for the summit attempts.

Rolfe and Raj; Phurba; Addy; Nirjan
Our route in purple followed a clockwise-ish path, starting and ending in Lukla at the bottom. Everest base camp is at the top. Mt. Everest is at the top right. Gokyo is at the far left and Island Peak at the far right. Place names mentioned in the text are highlighted in green.

The trip started out well – we survived the flight to Lukla (2840m) and had nice weather for the first few days spending the nights at Phakding (2610m), Namche Bazaar (two nights at 3440m) through Dhole (4038m) and on to Machermo (4470m). One of the things I liked about this trip was the good acclimatization program making steady progress with reasonable altitude gains and a couple of two night stays to build our acclimatization.

First views of Everest (8848m at far left) Lhotse (8516m left of center – 4th highest mountain) and the iconic Ama Dablam (6856m at right).

On to Gokyo

Snow fell from the sky and covered the ground as we headed up to Gokyo (4790m). We left one of the trekkers behind in Machermo, seeing him helicopter out the morning we departed. He had chest pains and labored breathing the night before.

I was feeling really strong on this part of the trek – leaving the group behind regularly, not because I was walking any faster then they were, but I felt good and didn’t want to take breaks (I’m used to hiking alone, anyway.) I just wanted to go.

A quick medevac ride out from Machermo; Porters take a break; First Gokyo Lake.

We spent two nights at Gokyo so that we could climb Gokyo Ri (5360m) on the morning after our arrival. This got our lungs working with less oxygen after having had a good night’s sleep. As strong as I felt walking the trails, I did suffer with the altitude on the way to the top. Some nice views of the valley were obtained and we could look over the Cho glacier we would be crossing the next day toward the Cho La. (The map shows it as Ngosumbu Glacier, but it drains down from the 8188m giant Cho Oyu lying just north of Gokyo on the Tibetan border.)

No one in the group took Rolfe up on his offer to go up a second time for the sunset. He went alone.

Going up Gokyo Ri; The view from just below the summit – Gokyo Lakes at center and the Cho glacier streaming down at left.
Gokyo Lakes. Gokyo Ri to the right of center (without much snow). Cho Oyu 10 miles away on the Chinese border at right. The slope to the right with trekkers is the moraine from the glacier descending from Cho Oyu.

Another of our number was faltering in Gokyo, and she started walking down the morning the rest of us moved to cross the glacier to Thagnak/Dragnag (4750m) – a short trekking day (2.5 hours). This was the last we saw of Addy until back in Kathmandu as he guided her down. She ultimately was “heli-ed” out and spent several days in the hospital in Kathmandu diagnosed with Covid, pneumonia and HAPE (high altitude pulmonary edema).

Turning East to the Cho La

From atop the glacial moraine with Gokyo behind us. Cho Oyu at left; The glacier before us; The Cho La in the notch under the sun.

The Cho La crossing (5420m) was pretty nice. Crossing from the west we climbed the steepest side and there was a via ferrata installed – wire cable nailed into the rock as a safety line. There had been some snow recently, so I donned my micro-spikes fairly early in the ascent – I was carrying them with me; might as well use them. Again the altitude with steep terrain had me sucking for oxygen and slowed me down, but the pain was rewarded with great views from the pass looking back from where we’d come and out over the glacier we would descend onto on our way to Dzongla (4800m).

Glacier crossing; Going up the Cho La; At the pass
Looking over the east side of the pass; Crossing the glacier to Dzongla

Dzongla and Lobuche

Dzongla is where the first symptoms started coming on that something was not right with me. I could only eat half of my dinner the night we arrived, and at breakfast I could only manage a third of a bowl of muesli. Not much fuel for a full trekking day. As we rounded the corner to meet with the Khumbu Valley (with Lobuche peak to our left), I was feeling pretty punk. I was blaming it on not recovering from the effort to cross the Cho La, but I was starting to get sick. I was dragging behind the group as we arrived in Lobuche village and couldn’t eat any lunch.

At this point our schedule changed to take advantage of some good weather (and avoid some bad weather). Originally we were to spend the night at Lobuche village, go up to Everest base camp for a night before returning to Lobuche before climbing Lobuche East with those extra days of acclimatization in our pockets. Instead, we moved on after lunch to Lobuche high camp (5500m) and would make the summit attempt that night.

This was going to be a problem for me…. With even less fuel in my tank I trailed behind all the way to high camp. At dinner in camp, I could only force down three forks full of pasta. It was completely unappetizing (to me) and hard to look at, let alone eat. Normally, I would have wolfed down two plate-fulls.

On the way to Lobuche – Paul in front of Tabuche Peak (6367m at left) and Cholatse (6335m at right); Going up to Lobuche high camp.
To Lobuche high camp; Looking down on high camp.
Chilling out in the dining tent at Lobuche high camp.

Lobuche East. Puking: Natures way of advising you to do something else.

When midnight rolled around for our summit departure, I dutifully donned all my gear and started off on the trail, knowing I was not going to make it. I was way off the back of the pack at the start, accompanied by the ever patient Phurba Lakpa Sherpa. After an hour, I vomited (dry heaved, more accurately, since I had no food in me), took a few more steps and looked up at a steeper section of trail. I turned to Phurba and said, “Let’s go down.” He agreed, and kept a wary eye on me as I stumbled back into camp. He deposited me in front of my tent and dug a coke out of my pack. I never drink soft drinks at home. (Ok, well, I do drink tonic water, but only when I can dilute it with gin.) But this coke was good.

Once he was satisfied I was OK, Phurba turned back to catch up to the group. But I guess my next dry heave was loud enough to carry a couple of hundred yards as he came back to check on me, woke up the “kitchen boy”, and together they made sure I got my boots off and was in my sleeping bag, and instructed me to holler if I needed help, before he headed off again.

I got up with the sun and was able to get some shots of people nearing the summit, then went back to sleep some more.

Lobuche from high camp (it’s about 700m to the top); Climbers nearing the east summit.

When the group returned, they were pretty exhilarated and exhausted. Five of the six who had continued on were able to summit. – Steve was also starting to get sick with a chest infection and retreated early. After a short rest we packed up and moved back to Lobuche village for the night.

As I pondered my barely eaten dinner that night, I resolved that if I didn’t feel better in the morning, I would go down.

Tough Decision

The next morning we were to walk up to the village of Gorak Shep (5170m), visit Everest Base Camp (5365m), and walk into the Khumbu Icefall, with the plan for the day after to climb Kala Patthar (5550m) for views of Everest. This part of the itinerary was both for being there and to acclimatize. The plan for the group after EBC was that the trekkers would walk/helicopter out and the climbers would continue for Island Peak.

But I didn’t feel better in the morning, so at breakfast I told Rolfe that rather than go higher, I should go lower. Headache, ear ache, no appetite, upper respiratory unhappiness – perhaps a combination of altitude and some illness. Performance-wise, while earlier on the trip I was at the head of the group, now I couldn’t keep up. Perhaps I had what had struck the two who left the trip a few days before.

I assumed I would go straight down to Namche Bazaar and just hang out for a few days until the group came back down after all the climbing. But Rolfe suggested I go down 700m to Dingboche and have one and a half rest days there. The group would be there in two days time, and perhaps I’d recover well enough to go up to climb Island Peak. So I was provided with a porter to carry my duffel and Pemba Sherpa to act as my guide. Pemba had just joined the group as one of the climbing Sherpas.

Looking toward EBC from Lobuche (7165m Pumori at left) ; Following Pemba to Dingboche (Ama Dablam with the summit plume. And you can see some of the zombie apocalypse coming up the trail).

I felt immensely better half-way down (the change a few hundred meters makes is amazing) and was already feeling optimistic about getting back in the swing and climbing Island Peak. Pemba didn’t go lightly on me – the “3 hour” walk took us 2:20. On the way I learned that Pemba had summited Ama Dablam 3 times and several 8000m peaks, each several times. He has also summited Mt. Everest 9 times. I really felt like a moron following him down the trail. Earlier this same week there were three Sherpa deaths on Everest, and it turned out that one of them was Pemba’s brother-in-law. Pemba’s wife had already forbade him from climbing Everest. Now he was reduced to shuttling sick foreigners down the trail.

Our trip up to Gokyo Lakes had been off the main trail going up to EBC, so we didn’t see too many people going up or down. But once we got to Lobuche village we were on the main trunk line between Namche and EBC. About half-way down to Dingboche there were literally (in the literal sense of the word) hundreds of people coming up. It was as if someone blew a whistle in Dingboche and all the guesthouses emptied at the same time. It looked like the zombie apocalypse.

Dingboche

There was a great cafe in Dingboche, the Cafe Himalaya, which became my home for a day and a half. It was much more comfortable than the unheated Yak Inn tea house which didn’t fire up the dining room dung stove until late in the afternoon.

Main street, Dingboche; The Yak Hotel; Warming up in the Cafe Himalaya.

The group arrived with their tales of adventure at EBC. It seems that it wasn’t necessarily bad that I didn’t get there – the group’s universal opinion was that Gorak Shep is a shit hole and it’s most redeeming feature is the path leading out of it. The weather was now poor (which is why the attempt on Lobuche was moved up in the schedule) and Kala Patthar was in cloud, so they didn’t bother to climb it, and didn’t see Mt. Everest. The one thing I did miss out on was the opportunity to walk a little in the Khumbu Icefall – other than the extreme altitude, it’s the most treacherous part of climbing Mt. Everest and starts from base camp.

The Push to Island Peak, Where Oxygen is Your Friend

Regrouping in Dingboche, we were off to Island Peak base camp (~5000m). About a quarter of the way there I was back to not feeling so good and was falling off the back of the group. We stopped in a tea house in Chhukhung, and when I sat down I said to myself that this was as far as I was going. But after a bowl of ramen I felt better and continued on to Island Peak. Rolfe attempted to take my day pack from me to give to Nirjan Rai to carry, but I said, “Rolfe. If I can’t carry my day pack to Island Peak, I shouldn’t be going there,” and he relented. I did feel better getting up to base camp, but certainly not fully fit.

Going up to Island Peak base camp; Base camp in sight; The foot of Island Peak’s glacier above base camp.

Same routine as on Lobuche. Feeling crappy, meager appetite, but I was able to get some sleep in the afternoon/evening so at our midnight wake-up call I was rested. I followed along at the group pace for about two hours, but then felt the strength drain out of me. By the time we got to the old high camp (5500m), I was dragging. I could have gone farther, but it was very unlikely I’d be able to summit. And turning back later would have required one of the Sherpas to go down with me and reduce their number climbing with the group where they might be needed. So I went down from here, getting back to camp at about 04:30.

Then I slept for 30 hours. I raised myself only to go to the dining tent to eat what I could, or to rush to the toilet tent for bouts of what is best described as explosive diarrhea (which would have been much less fun during a glacier crossing tied into a rope….).

And then the walk out. I couldn’t even keep up with the group walking downhill. At the first small rise I deliberately took tiny steps, and after cresting the hill I walked even slower to catch my breath. But I couldn’t. I couldn’t breathe. I was doubled over.

Rolfe came up to me and asked a great question to fully assess my medical condition, “Would you like Nirjan to carry your pack now?” I nodded yes (I couldn’t speak). And then Phurba hooked up the oxygen cylinder he was carrying to a mask and put it on my face. I was expecting instant euphoria, but the best I got was the ability to breathe. On oxygen I could keep up with the group, downhill.

The walk down from Island Peak; Sporting an oxygen mask.

Walking Out. Listen to your mother ….

We stopped again for tea in Chhukhung, lunch in Dingboche and continued down to Pangboche. The lower we got, the better I felt, and I got rid of the oxygen tank in Dingboche.

It was a crummy day; rainy, snowy. The trail wasn’t particularly slick, but walking took a little care. The valley here has steep walls, and the trail is several hundred feet above the raging river.

As I was walking along I heard this sort of slipping sound behind me, and I caught a flash of a red jacket go by in my peripheral vision. I turned to look and saw Rolfe plummeting down the 70 to 80 degree slope, sliding and rolling as he went. I heard Lynda scream from the back, but didn’t hear any sound coming from Rolfe in the surreal vision before me. He seemed to stop a couple of times – I assume he hit a rock or stump – only to continue rolling until a tree finally stopped him for good. I estimate he fell 100 feet. He was motionless. I figured he must be dead. Looking straight down, I felt helpless in doing anything about it.

Phurba was ahead on the trail and much lower, and very quickly traversed across to him. Rolfe came to, shook it off and was able to climb back up with Phurba’s help. He broke ribs on both sides and sprained his ankle…. but, wow. He thinks having a full pack saved his back. I think it was very fortunate that the hillside was covered in vegetation and protected him a bit from the rocks. We heard that recently some other people fell in the same spot and one broke his jaw. Last year two people were killed in the same place as they fell all the way to the river.

To Pangboche. Rolfe (in red) before the fall; Rolfe shortly after the fall – note the steep valley wall; Enjoying chang at the tea house.

So, listen to your mother. Don’t get too close to the edge.

Long Walk Out

From Pangboche it was two long days’ walk back to Lukla with a night in Namche Bazaar. We got some final views back to Everest and Ama Dablam from Tengboche monastery. The walk from Namche to Lukla was 7.5 hours. Rolfe walked out as far as Namche and took a helicopter to Lukla. His trip to Lukla took 7 minutes.

Bridges to cross; Everest far in the back, the Nuptse wall between, Lhotse to the right; Ama Dablam.
Two views of Tengboche Monastery; Arriving at Namche.

After a night in Lukla we rose at 6AM hopeful to get an early flight out. The weather was not cooperating – drizzle, fog. After sitting around all morning and into the afternoon, we were pretty much resigned to spending another night in Lukla, but planes started coming in, and we were airborne to Ramechhap in a Twin Otter at just past 3PM. After a horrible bus ride, we got back to Kathmandu at about 11PM.

Down to Lukla; The airport.

Epilogue

It took 12 days after arriving home before my lungs cleared out.

Ordinarily I’d be thinking about going back to bag the peaks I missed. But I really don’t have much desire to. The scenery is unbeatable – especially once you get above Namche Bazaar. But getting to Nepal (minimum 25 hours from the US east coast), dealing with the pollution of Kathmandu (which I also wrote about on my last trip there), the transport difficulties, and then the days spent getting to the peaks are probably more than I’m willing to do again. Never say never, but I need some time to forget 😉