This is Larry reporting from
Lobuche. This morning we awoke and Doug came into the dining tent complaining
of nausea, a severe headache, blurred vision, and dizziness. We immediately
became very concerned because these symptoms are suggestive of High Altitude
Cerebral Edema (HACE). Hace is a life threatening condition and is best
treated by immediate decent to a lower altitude. We treated Doug in base camp
and then he and I began our decent to a lower altitude. We are now stationed
at 16,500 feet. With medication and descending to a lower altitude, Doug is
showing some improvement. He is now able to take in liquids and has
experienced no further vomiting. Throughout our expedition, Doug has had
intermittent headaches and has shown signs of Acute Mountain sickness. His
symptoms appeared to be improving as he climbed up to 19,000 feet yesterday.
He climbed strong and we thought he was well until this morning.
I would like to take this
opportunity to say a little about altitude illness. With travel to high
altitude, there are three major forms of altitude sickness that can be
encountered. Firstly, is Acute Mountain sickness which consists primarily of:
headache, nausea, lassitude, fatigue, and insomnia. Secondly, is High Altitude
Pulmonary Edema, which can be life threatening. High Altitude Pulmonary Edema
(HAPE) is when the lungs fill up with fluid as a result of the body adapting
to high elevation. It occurs vary rarely below 8,000 feet. Thirdly, the most
severe form of altitude is Cerebral Edema - swelling of the brain.
To avoid this, we have have
slowly descended to Lobuche. As we can see with Doug, however, altitude
sickness can strike even at lower altitudes - as he began to experience
symptoms at approximately 15,000 feet. It is important to note that altitude
sickness is not a respecter of age or physical fitness. Even if an individual
has been to the same altitude previously and experienced no symptoms, altitude
illness can manifest itself out of the blue on an individual's next
expedition.
Doug has been in touch with
his wife, Lisa Renee of Littleton, Colorado. Lisa Renee, her family, and the
Tumminello's church family are praying fervently for Doug's speedy recovery.
The team is praying for Doug as well, and I will remain with him to provide
comfort, support, and medical attention. For now, he is looking better. We
will continue to stay in Loboche for the next two days as we further assess
his condition. Lord willing, if Doug continues to improve, he plans on heading
back up to base camp. Until then, we will take it one day at a time.
With thoughts and prayers to
Doug and his family,
Larry Rigsby MD
Larry specializes in High
Altitude Medicine and is a member of the Wilderness Medical Association