Dementia

I just returned from six weeks in NZ due to my dad, Rick, breaking his hip.  He has a combination of Parkinsons and dementia…. it’s been a tough run as Rick has struggled through delirium, confusion and agitation (but surprisingly little physical pain). As his primary caregiver, I returned to help figure out the next move.  It’s easy to attach judgement to this situation and feel a bit hard done by as his diagnoses came on the heels of my mother’s death in 2009.  Couple that with my brother Adrian’s death in an avalanche in 1994 and life does feel unfair at times.

So what to do but look for the silver linings?  One is that NZ is a country with socialized healthcare with some wonderful and varied medical people.  Rick has been in the psychogeriatric ward at PMH since March 9 and he’s been treated beautifully.  Another silver lining is that shit happens and you just spiral into negativity if you dwell on the negs.  So the lining is positivity.  Another positive is that we are loved and Rick has an awesome group of friends and family who do not give up on him.  Those are friends I’m happy to call my own.  Another great thing is that Rick still lives in my hometown of Christchurch and he fell down in early fall.  I stayed with great friends by the hills and enjoyed many bike rides and surfs.  The great Sarah Macnab coordinated my living in the moment and I enjoyed music and good times that I wouldn’t have done otherwise.

Uncertainty certainly remains but what I learned (and posted on FB) is that people with dementia are forced to live in the moment, painful though that moment may be, it will pass.  We ride the downs and focus on the good moments.  Some are even great.  We cry when it’s hard and sad – and then patiently recover our equilibrium.  There is lots to learn about acceptance and understanding of neurological illness and aging (which don’t have to go hand-in-hand of course).

I used to think that strength was about effort – but it’s not.  It’s about letting go and accepting that heaps of things are beyond our control and you just have to remain nimble, able to flow with the conditions and do what you can, when you can.  It’s like that in the mountains, especially in changeable old NZ.  I don’t know why it’s taken me this long to take what I’ve learned in the mountains to my lowland life!

Rick:Noels:Anna

Me and my parents at Scottie & my wedding December 2000. 

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White Rim 45th

I have this ongoing hit list.  Some years no hits are made but I try to chip away, wearing it down while adding new missions – the Grand Canyon Rim to Rim to Rim on foot  in one go, skiing the Grand Teton, soloing the three Tetons as fast as I can, riding the White Rim….  Then there are the missions in my native New Zealand:  the Grand Traverse of Aoraki/Mt Cook, riding the Heaphy track, paddling across Milford Sound and climbing Mt Pembroke…. Sometimes I go alone but often I join forces to carpool, yet travel fast and light, unencumbered by overnight gear and the need to find extended babysitters.  This year’s mish would be the White Rim.  A fitting ride to celebrate my pending 45th birthday.  I’ll do it in a day of course.  It’s too far for my son to ride just yet and I have four friends who will join me.  We’ll carry over four litres of water each and  our kids will remain in Moab with grandparents while we cruise the desert.   With my husband working at Mt Everest in this most harrowing of seasons, I needed distraction.

My birthday, always so autumnal and drizzly in the austral fall, is glorious in Utah.  The desert country of Southern Utah is vast and red and dry and fantastical.  The White Rim would be a grand excuse to get back on my bike, an old Cannondale Scapel that’s been ridden hard and put away wet.  I can’t remember when I last rode 100 miles but with previous experience of training for endurance events, I’d put in a few miles to get the old cycling muscles back in order.

The White Rim trail, situated in the Island of the Sky district of Canyonlands National Park near Moab, is a 100 mile loop consisting of 13 miles of dirt road, 10 miles of pavement and 77 miles of four-wheel drive road.  We would camp at Mineral Bottom beside Green River then climb the daunting Mineral Bottom zig-zags in the comforting pre-dawn gloom.  This clockwise approach would have us through the 23 mile pinion/juniper uplands of Island in the Sky first and down into the desert spectacular early in the day.  It proved spot on as we hit the Shafer trail with it’s remarkable serpentine descent toward the Colorado river, just as the sun lit up the vermilion cliffs around us.  Skidding around the bends, we helter-skeltered our way onto the White Rim proper.  True to name, the White Rim sandstone has resisted eons of erosion and borders a mid level bench amongst the district’s 2000 foot sandstone cliffs.  In places the rim looks like white icing dripping over the void.  This rim of white guides us in our grand loop.

Gazing into the sun, I sight a blaze of colour across the land.  A veritable flower carpet sweeps the mesa to sharply contrast with the red wingate sandstone cliffs.  Amongst the yellow flowering rabbitbrush on the side of the trail are glimpses of shy flowering barrel and prickly pear cacti.   Orange penstemmons wave cheerfully and the odd rabbit darts across the path.  What I believe to be lovely white asters form clusters near the track.  But I’m no botanist.  Sure, I’m all for being here now – I smell the flowers on the desert wind, but I’m not one to stop and smell flowers.  I am engrossed by this environment but I like to move.  I adore spring in the desert southwest.  The first time I came here, with my (eventual) husband, I was entranced by the magic of this place and began to read the likes of Edward Abbey and Terry Tempest Williams.  Tempest Williams, in her astonishingly brave book, Red, poignantly says “For those who do know and love the Colorado Plateau, may these stories be a reminder of pink sand underfoot and ravens overhead and the joyous sensation of finding red dirt in every pore of your skin.  May you recall the transformative power of wildness and remember it survives now only through vigilance.”

Indeed, the desert is fragile and precious. Mountain bikes can damage and we are careful to remain on the trail, using the outhouses provided about every ten miles at each campground.  Despite the fact of eight national Parks on the Colorado Plateau, the desert Southwest is loved to death in places and fought over as various interests seek resources – natural gas and extractables like potash and uranium, more recreational opportunities and always, more water.  Along the White Rim, I’m heartened to see vast tracts of intact cryptobiotic soil, the skin of the desert.  The many bikers who frequent this classic trail revere also.  I like to think of us as one in our wildness creed.  Tempest Williams talks of belief in a sense of place.  I know this feeling in the mountains in New Zealand but I seem to have adopted the pulse of this landscape in Southern Utah.  It’s a privilege to know such a place.

We occasionally come across cyclists who have come sensibly to spend several days riding the White Rim.  Swag vehicles loaded with water (there is none on the trail) and camping gear grind along the four wheel drive trail.  Often travelling slower than the cyclist themselves,  I try to pass one jeep and scare the bejesus out of it’s inhabitants.  Were they so mesmerized that they forgot that this was primarily a mountain bike trail?  The ride is so much more than I imagined.  Though we rarely see the the vast Colorado river, principle artery of the Colorado Plateau, it’s enough to sense it’s power nearby.  And we will pass the confluence of two mighty rivers – as the Colorado meets the Green.  Halfway looped at White Crack campground, we pause to recover and eat.  As we re-group, a guy with a ukele darts past.  I catch him up a few minutes later.  He’s strumming and singing, hands-free on his bike.  The bumps plus my cheery hail nearly startle him off his perch.  Onward, the views broaden again.  I recognize the familiar North Six Star Shooter Butte at Indian Creek near Canyonlands National Park’s Needles district.  Through the increasingly magnificent panorama, I sneak glances across the vast sheaths of layered sandstone, an occasional tantalizing glimmer of emerald as a river reveals itself.  We grind to a halt at Murphy’s Hogsback and walk together up the perishingly steep gradient, laughing and chatting.  From the top, the rim of white divulges the miles yet to travel (actually only 30 now).  Candlestick Tower looms, a spire sitting apart from the main cliff chain.  The trail is mostly smooth and fast for miles as we descend toward the Tamarisk strewn banks of the Green River.  Sweating, we crest the final nasty hill, Hardscrabble, and negotiate washboard down the other side.  While the others likely benefitted from the bigger roll factor of 29 inch wheels, my bum is glad of the rear suspension on my old Scalpel.  The bottom bracket creaks alarmingly  but I reckon it’ll get me there.  We’ve been through a lot my bike and I.

The night before, I’d gazed pensively at the stars from our open-air bivouac at Mineral Bottom.  Could I still make this distance after seven years of little riding? Obviously I couldn’t let the fact of my mid-forties be an excuse.  I know plenty of older friends who go harder and longer – whether on foot or by bike.
With neck and oddly – my feet –  aching, I pull into Mineral Bottom grinning at the others.  I’m feeling a tad sick but as we loiter by the vehicle and snack on salty chips, I recover quickly.  Karoline provides grapefruit/beer radlers.  While they sound disgusting, they are the ultimate recovery drink.  Geoff has now ridden the White Rim in a day over fifteen times.  I can see why.  Good times with good friends.

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Me, Karoline, Geoff, Heidi, Renae at the top of Hardscrabble hill (I think). About 3/4 into it.

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Thoughts on trekking to altitude with kids

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.

Altitude

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?

Stamina

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.

*1m=3.3ft

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

Making base camp

There was soul searching upon arriving at lobuche at 5000m. Obie ate some pizza and went to sleep for the rest of the day. His oxygen saturation was low at 60% and I told the Sherpas that I was thinking of descending. Karina said wait until morning. By then Obie was a perky 90% to my 75!

We headed to Gorak Shep, 300m higher. Obie said he had a headache but his spirits were fine and appetite good enough (for him). Wally Berg, an American climber who was with Scott in 2010, showed up and babysat while Scott and I hiked up to see base camp from Kala Pattar. By the time we got back, Obie had ditched Wally in favor of Lara, a 9 year old German girl.

April 12, Obie was emotional and once again I considered descending – but only after a few rounds of Go Fish. Obie came right and we headed to Base camp with Scott. I always feel weird upon arriving at 18000 feet and the whole place was surreal anyway. Hundreds of tents arranged around glacier features, rocks like mushrooms perched on narrow pillars of ice, yaks amongst the ice formations….Farewell time was difficult on the edge of the moraine overlooking the field of coloured dots. Glaciers hung above us in immense scale. Khunga and our porter, Kaji stood around awkwardly. The sadness of leaving was somewhat relieved by the sight of a pika/mountain mouse with no tail scurrying among the boulders. Obie was delighted and talked about it for days.

The next morning I awoke with a fearsome headache and the Khumbu cough. Combined with the distress of leaving scottie, i was not at my best. Obie was fine. Only the thought of thicker air got me going. At Pheriche I crashed out on some couches. Obie ate noodles with an American group and I could hear them urging him to eat up and him explaining how his mum had caught his headache and the Khumbu cough. He would occasionally pop over and pat me sympathetically. Finally awakening after two hours, we continued to Pangboche and the lovely lodge of my friend Yangzing. There we met three generations of the bishop family. Barry Bishop was one of the summiteers on the first American expedition to Mt Everest in 1963. His widow Iila, now in her mid 70’s, was a delight and we enjoyed spending time with the family and getting a perspective on the changes in the Khumbu region over the past 50 years. We even got to hike some of the way to Phortse (the surprisingly high route) with Ilana the next day.

From Pangboche, we took a direct line up hill with Guy Cotter, Suze Kelly and other members of the AC group headed for Lhotse. We were off to visit Lama Geshe (who blesses expeditions) then our parties would split. The Obie Simper party would take the long and high route to Kumjung. Long and high it was, the track climbed and descended and wound in and out of the folds of the mountain. We passed the Tengboche monastery so close but so far across the valley. Phortse was a gorgeous village, it’s organized terraces and rock walls contrasting the steep backdrop of mountains. Descending through almost blooming rhododendron forest to the river, we crossed the torrent then climbed again, up, up up to Mong-la and a diagonal descent to join the Kumjung junction and into Kumjung – a larger version of Phortse. Less terraced, Kumjung is cozily placed in a large notch with plenty of flat terrain. The center of much of Sir Ed Hillary’s philanthropic work after his Everest ascent, we looked forward to exploring the village the following day. Oh how things can change in the space of one night….

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