Obie and i just arrived back in utah. Someone suggested that i write my thoughts on trekking in Nepal and taking kids to altitude
Health and hygiene
Start with a good multi-vitamin before you leave. Preferably a tasty one.
I would have taken extra vitamin c for Obie.
He had the odd bout of mild diarrhea and I would empty half a probiotic pill into something yummy that he was eating.
Have lots of little hand sanitizer packets and get the kids used to them and accepting
Really emphasize no nose picking and eating (seriously) and to keep hands away from mouth unless eating with clean hands
Use a buff or similar that can be pulled over the kids mouth and nose on the dusty trails. The Khumbu cough starts below Namche where the track is most dusty and crowded.
Obie slept in his own sleeping bag in the Teahouses. Not only cozy but avoided any bugs, germs that may linger from other Trekkers
Keep kids heads warm as altitude increases. This helps them acclimatize apparently.
Obie never wore his gore-tex but I kept his hooded down jacket handy (great buys in both Namche and in Kathmandu) plus gloves and warm hat and sun hat.
I gave paracetamol in yummy liquid form for headaches. Obie used it twice but make sure you follow directions carefully.
Peak Promotion, our outfitters, sent us with a bottle of oxygen in case of any trouble. We never used it but reassuring to have (and heavy)
Have some kind of moisturizing oil like jojoba – Obie’s cheeks got quite chapped and he got some dry skin on his bum and upper thighs as well.
Wet wipes and toilet paper in the top of your pack.
Wet wipes for grimy faces and hands
Scott has a steri-pen for sterilizing but I mostly used a gravity filter. I would leave it to filter while at breakfast and it took about half an hour (depending on the grittiness of the water) to filter 3 liters. I would then pop an iodine tablet into each bottle just to be sure and would later use the neutralizer pills to take away the iodine taste. Obie carried a camel back and this was invaluable. Keep the nozzle tucked back inside the shoulder strap to keep it clean.
I took lots of nuts, bars, nori snacks and fruit leathers for the trail. There is plenty of food at the Teahouses so I reckon I overdid it. Last time I was here there were not so many snickers bars and kitkats!
Doctors – Namche, Kumjung and Pheriche
Get good rescue insurance for peace of mind that includes heli rescue. I used International Medical Group. Alpine clubs also offer good rescue insurance packages. You need to be a club member and you have to organize it in advance.
Personally I have always gone a bit too fast and worked too hard while still low. I hoped that with Obie, I would acclimatize nice and slow. It seemed to work for him but I think I physiologically struggle to acclimatize to 18000. I just need to take a lot of panadol and/or excedrin (Scott’s recommendation that worked quite well).
So my advice if you decide to take kids up high above 14000 feet/4000m is to absolutely take all the advice for proper acclimatizing: go slow, take rest days where you hike around a wee bit, drink a lot of water and generally do the minimum climbing that you can each day. This is dictated by the position of the Teahouses. Pheriche to Lobuche is a 700m elevation gain (to 5000m) but Lobuche to Gorak Shep is only 300 m and Basecamp is only another 50m. Many go from Lobuche to BC but we stopped at Gorak Shep.
The goal of reaching BC was very loose. I was completely prepared to return to Pheriche if Obie’s pulse oxygen sat was still 60%. I always thought we would just make it to Pheriche or Dingboche. The Sherpas all thought that Pheriche would be the highest Obie would go. There were a lot of comments about how strong he was. I would honestly say that he was significantly better at altitude than me (granted I am susceptible to coughs in recent years, should probably get it checked out. My sinuses were very stuffed up which would not have helped my oxygen uptake). But even when I was 21 in the Indian Himalayas, I suffered going above 18000ft/5000m.
At Gorak Shep I felt like shit but Obie’s energy was great. Scott had to go to Basecamp anyway so why not go once my excedrin kicked in?
The real secret weapon to Obie’s health and stamina was Khunga. He basically cruised with Obie all the time and would give him short rides put Obie down then piggy-back him again. I just ambled along with my own pack and the water and food. It was Khunga’s first time into the upper Khumbu so he had his fair share of headaches as well. I felt like it was well worth the money to have Khunga.
What did Obie think of the trip: he liked the yak and yeti hotel because of the kids and the pool.
What was most memorable for him:
The animals: yaks, pika, horses, danfe, eagles, dokyo, dogs and one very friendly cat!
Response to cold. Doesn’t bother him, was not very cold.
Sherpa attitudes – doubts, concerns, then impressed.
Attitudes from Trekkers – slight notoriety