Saturday, January 21, 2017

Day 4 - Christmas on Kilimanjaro



Mt. Kilimanjaro - Christmas Eve, 2016


The hike has become more of a mental challenge, rather than a physical one.

I'm writing from Kibo Hut, base camp for the summit attempt. It's nestled at 15,518 feet. Tonight, I must conquer this foreboding monster to reach my goal.


Base of Mt. Kilimanjaro - Christmas Eve, 2016


During today's six-mile trek, I traversed an








alpine desert.







As I took each agonizing, uphill step, powerful winds slammed







against my body.









During my Everest hike, I made the mistake of looking too far into the distance, worrying how I'd scale each peak, sometimes losing hope I'd ever arrive. Now, my single focus is on the footsteps of my guide, Raphael.




Where he steps, I step. Where he goes, I go. There are no destinations to reach, just follow the leader mile after mile, hour after hour.

Time flows backward and forward. One minute I'm in Nepal, envisioning scaling the Himalayas. The next, I'm fantasizing about summiting Kilimanjaro. The next, I'm reliving Christmases from years past. I miss my family.

Pole, pole

Raphael spots it first – a climber being whisked down the mountain on a one-wheeled stretcher.

"It's your friend," he says.

Without looking, I know who it is, Robert. One of the porters tips up the stretcher, so we can talk.

Robert reminds me of someone who has just awakened from anesthesia – groggy, incoherent, disconnected from reality. He's a victim of the altitude. He'll be fine, as soon as he gets lower on the mountain.  He wishes me luck and is off.

As disappointed as I am by Robert's misfortune, I immediately block it out of my mind. With self-doubt, comes worry. With worry, comes despair. I won't join the 54% who never make it to the top. I'm different. I'm special.

On a brighter note, my medical school friend, Kevin, reached the summit. While I congratulated him on his efforts, he asked my guide to check his oxygen level. Again, 95-100% is normal. His level had plummeted to 62, a reminder that Kilimanjaro always takes a toll on the body.

It's 3 p.m. In about seven hours, I'll wake up in the middle of the night and begin my quest.

I'm praying that I don't succumb to the altitude. I'm still not taking Diamox. "The best medicine of the mountain is water," says Raphael. "It's a lot better than Diamox."

I'm trusting him, but at the first signs of altitude sickness, I'll be popping the pills. I've felt altitude sickness and will do anything I can to avoid being sidetracked from my goal.

Before dinner, Raphael let me know what's potentially in store for this evening, as far as acute altitude sickness.

"Fatigue is normal. Extreme cold is normal. Headaches are normal," he said. I asked for honesty, and he's delivering. "Nausea is normal. Vomiting is normal. Dizziness is normal," he added.

So much for confidence. All I asked is that he tell me immediately if I enter into the realm of severe altitude sickness. Acute altitude sickness is bad enough. Severe altitude sickness – either in the form of pulmonary edema (fluid in the lungs) or cerebral edema (swelling of the brain) – is deadly.

At 5 p.m., I'll eat dinner, try to sleep, and then push toward the summit.

Hopefully, I'll have positive news to report. If not, I promise I tried my best.

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DAILY TRIP DETAILS

Start:      Horombo Hut  - 12,155 feet in elevation (3,705 meters)
Finish:    Kibo Hut          - 15,518 feet in elevation (4,730 meters)
Distance Covered  =  5.96 miles (9.6 kilometres)
Elevation Gain       =  3,363 feet (1,025 meters)
Time of Hike          =  4 hours, 46 minutes
Results of nightly health screening:   Pulse = 82   Oxygen level in the blood = 87% out of 100 (Note: An oxygen saturation reading of 95% or better is considered to be normal. If my level drops below 50%, it's serious, and I'll be asked to discontinue my trip.)  

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Note: These are the exact words I wrote while climbing Mt. Kilimanjaro. After returning from my six-day trip, I transferred my unedited thoughts directly to the blog. In some cases, I added extra information for clarity. You'll find those passages in italics.  




Sunday, January 15, 2017

Day 3 - Christmas on Kilimanjaro





The summit of Kilimanjaro is clearly in view, a snow-capped mountain in the distance beckoning me on, but today I stayed at Horombo Hut for another night. Rather than moving on to a new destination, I did an acclimation hike, climbing to Zebra Rock.





The two-and-a-half hour trek took me to just over 13,000 feet.






The idea is adhering to the old mountaineering adage of "climb high and sleep low". I experienced the benefits of adjusting to a higher altitude before returning to a lower one to recuperate. I'm told this extra day will increase the likelihood that I summit.

The problem with my route up the mountain is the gain in altitude is so rapid that I've got little time to acclimatize, which raises the chances that I'll get altitude sickness. When I hiked to Everest Base Camp, it took nine days to reach 17,600 feet. With Kilimanjaro, I'm heading to 19, 341 feet in just over four days. It seems a bit crazy, but I continue moving forward, choosing to not dwell on the numbers.

Last night, I had my first brush with what I think was a bit of altitude sickness when my head starting hurting, although it could have been the fatigue of hiking five hours in the hot sun.  I swallowed a couple of ibuprofen, and the headache disappeared.

Before beginning my hike, I debated about whether or not to take Diamox, a medicine that supposedly prevents and reduces the symptoms of altitude sickness. Some climbers take it in advance. Others wait until symptoms arise.

Both my doctor and pharmacist recommended I use it prophylactically, but every guide and porter I talked with said wait because of the adverse side effects. I assume they'd know, so I've got it in my pack, just in case.

Overall, my 51-year-old body is holding up under the stress of the ever-increasing altitude, as well as the daily hiking grind.  Each night, my guide, Raphael, checks the level of oxygen in my blood, along with my pulse. He says he's pleased with the numbers.

While I'm grateful my health is being monitored, I'm always nervous when Raphael clips the pulse oximetry onto my finger. An oxygen saturation level in the blood of 95-100% is considered to be normal. If my reading drops below 50%, Raphael says it's serious, and I'll be asked to discontinue my trip. So far, I've not dipped under 80.




Although I'm climbing alone, I've got plenty of company on the trail. For the last two days, I've been hanging out with Kevin, a first-year medical student at the University of South Carolina, and Robert, the owner of a Chicago-based construction company. Robert is the one standing in the middle.

Both are taking the five-day trip, meaning their odds of success of reaching the summit – according to the park service – stand at 27%.

While I enjoyed my acclimatization day, Kevin and Robert headed to base camp. Kevin is young and enthusiastic. He'll make it to the top; however, I'm worried about Robert. Admittedly, he didn't train for the climb, and the 52-year-old tells me he's already anxious to finish. Plus, he's got a screw inserted in his ankle from a previous injury.

Robert decided to do the hike on a whim. Afterward, the practicing Buddhist will head to India for a conference with the Dalai Lama. Kilimanjaro isn't a major priority. Still, I'm hoping for the best for my new mountain friend.

Tomorrow is Christmas Eve. I'll celebrate by hiking almost six miles to the base of the summit. That evening I'll be awakened in the middle of the night for the final push to the top.

So far, so good.

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DAILY TRIP DETAILS

Start:     Horombo Hut                                      -   12,155 feet in elevation (3,705 meters)
Finish:  Scenic Overview above Zebra Rock   -   13,123 feet in elevation (4,000 meters)
Distance Covered  =  4.97 miles (8 kilometres)
Elevation Gain       =  968 feet (295 meters)
Time of Hike          =  2 hours, 35 minutes
Results of nightly health screening:   Pulse = 83   Oxygen level in the blood = 90% out of 100 (Note: An oxygen saturation reading of 95% or better is considered to be normal. If my level drops below 50%, it's serious, and I'll be asked to discontinue my trip.)  

 ----------

Note: These are the exact words I wrote while climbing Mt. Kilimanjaro. After returning from my six-day trip, I transferred my unedited thoughts directly to the blog. In some cases, I added extra information for clarity. You'll find those passages in italics.