Last gloaming a resolved came down from the cold reaches of Lobuche. She was a 40 year beloved woman from England. Her guides were active about her increased difficulty breathing and her incompetence to walk straight. One of the gilded rules of altitude is "if you are ill at altitude, expect it is due to altitude until proven otherwise.
" Her guides recognized these symptoms as by any chance HACE, which presented in the one-time post, or HAPE. HAPE stands for extreme altitude pulmonary edema and refers to an increased total of fluid in the lungs, making an already seldom met with amount of oxygen even harder to access. The rummage cause is an increase in pulmonary artery pressure, which can be treated with drugs that fall off this pressure. Nifedipine is one and Viagra is another.
As with all altitude problems, the best therapy is almost always descent. Unfortunately, no helicopter would danger a nighttime evacuation in Pheriche. We do have other solutions, such as the Gamow dispatch- pictures below. This vocation increases the tension so that the person inside of the bag experiences a 4000 ft run out of steam in altitude.
All that is needed is a help pump and a comfortable patient. As you might suspect, a claustrophobic man would not relish this form of treatment. In this patient’s case, she seemed better at Pheriche, receiving 8 Liters of oxygen, and we did not put her in the Gamow bag. Dr. Jones was the only one to enter it, mostly to turn into convinced it worked, and it did because her ears were popping as we pumped it.
The valetudinarian communist in the forenoon via helicopter with improved symptoms.
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