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The It-Sucks-To-Be-Me Generation

Wednesday, January 11th, 2006

The enviable Slate mag posted an article this week called “The It-Sucks-To-Be-Me Generation“. In it, author Daniel Gross takes aim at well, my friends and me. The tagline reads: Twentysomethings who can’t stop whining about how the economy is screwing them - and I will grudgingly admit that Gross has a point, especially where he comments, “To improve their lot, twentysomethings have to do the same things their parents should be doing: saving more, spending less, building skills that are marketable, and aligning aspirations with abilities. It’s tough to have a bourgeois life at 26.”

Altitude Sickness and Side Effects of Diamox

Tuesday, January 10th, 2006

Also posted on BnA Adventures today

Travelers who take on popular treks like the Annapurna Circuit, Mt. Kilimanjaro and Machu Picchu/Inca Trail should be well versed in altitude sickness before their trip. Altitude sickness, also called mountain sickness, is the name given to the negative effects of altitude experienced by those at high elevation. Anyone can get altitude sickness, no matter the age or level of fitness. Trekkers should be on the lookout for symptoms anywhere above 8,000 feet. They can show up 8-36 hours after ascent and include:

  • Headache
  • Nausea or vomiting
  • Insomnia
  • Lack of appetite

At its mildest form, altitude sickness is referred to as acute altitude sickness. Symptoms of illness usually disappear after descending around 3000 feet. People who show signs of altitude sickness should NOT continue to climb. Further ascent can lead to HAPE (High Altitude Pulmonary Edema) or HACE (High Altitude Cerebral Edema), both of which have been known to result in death.

Symptoms of HAPE and HACE include:

  • Difficulty breathing
  • Lethargy
  • Confusion
  • Unsteady gait

The best way to avoid altitude sickness is to take as much time as possible to allow yourself to acclimatize. According to this excellent article, when you climb above 10,000 feet (3,000 meters), your sleeping elevation should not increase any more than 1,000 feet (300 meters) per night. For every 3000 feet (1000 meters), spend a second night at the same elevation.

There are a few other things you can do to help your body cope with the lower levels of oxygen - avoid alcohol, drink plenty of water, skip alcohol and make sure you are keeping your body properly fueled with light meals. Many trekkers also give themselves a boost with prescriptions such as Diamox.

Traditionally, Diamox has been prescribed to treat glaucoma, epilepsy, and fluid retention. However, researchers also discovered that it can be used to treat the symptoms of mountain sickness, especially for those with a rapid ascent. Because many climbers who attempt to summit Kili are doing so in as little time as possible, it is a common prescription on the mountain.

The medicine is usually taken twice a day, 12 hours apart. Prescribed treatment should start 24 to 48 hours before ascent, however, many people in my group did not start taking the medicine until they started to feel ill. If you decide to hold off on treatment, know that it requires time to get into your bloodstream, so you are taking a chance of not feeling well soon enough. I began taking Diamox 24 hours before the start of my climb up Mt. Kilimanjaro. My dosage was 500 mg. twice a day, although others were as low as 175 mg. Medical websites suggest 500-1,000 mg. a day when used for altitude sickness.

Please note that you cannot take high doses of aspirin with Diamox, and that you must descend if you experience symptoms of acute altitude sickness. Diamox does not ensure that you will be able to appropriately adjust to altitude - it is only an aid that allows your body to acclimatize faster.

Diamox has a number of side effects, the most common of which are listed below. Most issues occur within the first few days of taking the drug. I experienced most of them.

Diamox Side Effects

  • Frequent Urination: Like coffee, Diamox is a diuretic. As it is prescribed for those with fluid retention, it’s no wonder that you have to go to the bathroom every 30 minutes.
  • Tingly hands/feet (parethesias): Occasionally, my hands would get the ‘pins and needles’ feeling. Even more disquieting were the ‘hot spots’ that I felt on my feet.
  • Loss of Appetite: I was always hungry, but others had an strong disinterest in food.
  • Taste Alteration: Sodas and other foods can taste differently due to Diamox. I did not experience this.
  • Internal Distress: This includes nausea, vomiting and diarrhea. These are also side effects of altitude sickness, so it can be difficult to pinpoint the culprit.
  • Drowsiness and Confusion: Perhaps the oddest side affect I experienced - on the first day of the climb, I felt, at points, as if I was hiking after having a few drinks. Things seemed out of place and it would have been very difficult to continue climbing had this side effect endured.

When climbing to high altitudes, the most important thing to remember is that no climb is worth compromising your life. Watch for signs of altitude sickness, ascend slowly and enjoy the trek!

Climbing Mt. Kilimanjaro Tips

Tuesday, January 10th, 2006
This is a copy of the article I posted on BootsnAll Adventures today, based on my 'lessons learned'. Along with a motley crew of BootsnAll members, I climbed the Machame route of Mt. Kilimanjaro, summiting on New Year's Day, 2006. ... [Continue reading this entry]

Mt. Kili Recap

Monday, January 9th, 2006
Ok, so here are some long-promised pictures and the day-by-day accounts, modified journal entries. I suggest scrolling down and starting with the bottom, but hey, what do I know? As I mentioned in the last entry, I'll have ... [Continue reading this entry]

January 2: Machame/Mweka Route Day Seven

Monday, January 9th, 2006
BootsnAll Staffers Mweka Camp (3100 m/10,170 ft) to Mweka Gate (6,000 ft.) Descent time: 4 hrs Elevation change: -1250 m/-4101 ft Estimated distance: 10km/6.21 Final elevation: 1828 m/6000 ft Today we descend about 1400 meters (4,592') through the forest ... [Continue reading this entry]

January 1: Machame/Mweka Route Day Six

Monday, January 9th, 2006
Victory! Barafu Camp (4,600m/15,091 ft) to the Summit (5896 m/19,343 ft) and then to Mweka Camp (3100 m/10,170 ft) Summit time: 7 hrs Elevation change: +1300 m/+4265 ft Estimated distance: 5km/3.2 miles Final elevation: 5896 m/19343 ft Descent time: 5 ... [Continue reading this entry]

December 31: Machame Route Day Five

Monday, January 9th, 2006
It Doesn't Look That High! Karanga Valley (3963 m/13,000 ft) to Barafu Hut (4,600 m/15,091 ft) Hike time: 3.5 hrs Elevation change: +600 m/+1968 ft Estimated distance: 4km/2.5 miles Final elevation: 4,600 m/15,091 ft Today involves ... [Continue reading this entry]

December 30: Machame Route Day Four

Monday, January 9th, 2006
Climbing the Wall Barranco Hut (3901 m/12,800 ft) to Karanga Valley (3963 m/13,000 ft) Hike time: 3.5 hrs Elevation change: +100 m/+328 ft Estimated distance: 4km/2.5 miles Final elevation: 3963 m/13,000 ft From Barranco Hut, we climb up ... [Continue reading this entry]

December 29: Machame Route Day Three

Monday, January 9th, 2006
Mountain top, seen from camp Shira Hut (3749 m/12,300 ft) to Barranco Hut (3901 m/12,800 ft) Hike time: 5 hrs Elevation change: +100 m/+328 ft Final elevation: 3900 m/12,800 ft From Shira Hut, we hike ... [Continue reading this entry]

December 28: Machame Route Day Two

Monday, January 9th, 2006
Scenery Machame Hut (2834 m/9,300 ft) to Shira Hut (3749 m/12,300 ft) Hike time: 7 hrs Elevation change: +800 m/+244 ft Estimated distance: 6km/3.75 miles Final elevation: 3800 m/12,467 ft From the Machame Hut, we cross the stream onto its ... [Continue reading this entry]