Ropers Sierra High Route

Jim, I am no physician, nor do I have the results to study from all of your lab tests. However, from the way you describe the symptoms, it seems somewhere between standard altitude illness and a diabetic condition. Have you had a blood test for this? It is very easy to rule out.

I have not yet subscribed to the Ibuprofen theory and brain fluids and all that. You aren't getting any ataxia, are you, loss of coordination like a stumbling drunk? For most of the climbers that I've been around who were getting some type of altitude problem, nearly all of them fell into the poor respiratory category.

I know of only one person who takes Diamox below 9000 feet elevation. Still some people have side effects from it, so starting with a half-dose wouldn't be stupid, just to see if you tolerate it. Some people are allergic to sulfa drugs.

At the last time that I was up there, I spent one afternoon at a Cedar Grove campground to relax, then started up early the next morning. I blasted up to Lake Reflection and arrived by 3 p.m. the first day. I didn't feel a speck of altitude problem, so I must have been doing something right. Total load was a hair over 30 pounds.

–B.G.–

Jim, you do immediately shoot up 6000 feet on the high route. Obviously the best way to deal with this, if you can't come from another high place like the New Mexico hikers did, is to break up the gain. One could start hiking a little later in the day and stay the first night in say Upper Tent Meadow and then complete the climb in the morning. I live at about 800 ft so thats not going to be any help to me with altidude at all. I was indeed counting on my fitness level and based on past experince believed that I'd be able to handle the ascent ok. It was however the biggest one day gain I've ever done and I could definately feel it the first night.

I was trekking in Nepal in May with some others and we had a chance to talk at length with a couple of doctors who had just finished a staffing rotation at the clinic at Periche. They recommended Ibuprofen to us as well and one of the members of our party who was having some trouble with the altitude (17 000+ ft) used it successfully along with diamox for the rest of the trip. I happen to be one of those who is allergic to Sulfa drugs, ibuprofen seems to be hard on the body, particularly for long term use but does seem to be quite helpful for short term rugged travel.

The key is to plan extra time to acclimatize. If for example you can spend two extra nights and one extra day before " starting" you will stand a much better chance of avoidig problems. Plan to sleep between 6-8000 feet night one. Next day do a mellow day hike to above 10k and sleep between 9-10k . Then start you trip.

Herbal supplement Ginko is also known to help. Recommend taking them in the AM since they can mess up your dreams something bad if you take if late in the day. Start about 5 days before heading up.

thanks for the wonderfully detailed commentary and stunning photos- the SHR is high on my bucket list, this report just cements it- thanks!

Mike

Jim: you report your primary symptom as being an elevated heart rate. The rest of your symptoms "may" follow from that? Do you have a history of atrial fibrillation? Probably not, or you would have mentioned it.

Anyway, beta blockers like Atenolol will bring down your heart rate. However, I have absolutely no idea if this sort of thing would be recommended or not for your situation. (For example, taking a dose or half dose for the first day/night at elevation.) I'm just throwing this out with no medical background at all so take it with a grain or box of salt, so to speak. This is clearly something you'd need to talk to a cardiologist about.

I too get an elevated heart rate going from sea level where I live to 9,000 feet, for example Tuolumne Meadows. I've been surprised how even one afternoon/night at this kind of elevation really helps. I've monitored my heart rate and found that by day 2 and certainly 3 my rate has fallen significantly. A resting heart rate of 120 would certainly tire you out. Kind of scary.

I'm not sure if Diamox would address an elevated heart rate; I mean, I really don't know. Bob Gross can probably answer this.

"I'm not sure if Diamox would address an elevated heart rate; I mean, I really don't know. Bob Gross can probably answer this."

Diamox tends to correct your blood's biochemicals in advance so that you don't get the pulmonary edema started, so the elevated heart rate never gets started by much. So, Diamox doesn't do anything for elevated heart rate, but it just gives you more safety margin so that you don't get into that state.

I know hikers who did not know that they had a mild cardiac arrhythmias. They would get off onto some strenuous hike like this and it would surprise them.

So, if you ever feel symptoms like this, it is a good idea to get checked out by your physician. Besides, if you need to get a prescription for Diamox, the physician is the person to get that going. One problem is that your physician can get you to do a treadmill test, but that won't prove anything about high altitude.

I had some symptoms one time, and then he had me do a treadmill test to try to figure out the cause. The physician told me the result. "Your treadmill score was exceptionally good. We don't know what caused your symptoms. The only thing we know is that it probably won't kill you." I didn't know whether that was good or bad.

–B.G.–

My first backpacking trip was 5 years ago and I did a cross Sierra hike that took me from Mineral King to Horseshoe Meadows in the Sierra's. Going from my sea level home to 8000 feet and then hiking to 10000 feet the first day sent my body into a diabetic shock. Most of my food made me sick and I was miserable the whole trip with extreme weakness and all the symptoms of diabetes. A few days in Lone Pine and I started to recover. When I got home I did some research and found that a lack of potassium can cause your body to stop producing insulin. I had prepared for the trip by running but never took electrolytes.

What I've learned is that taking electrolyte supplements before a trip and during the trip makes a world of difference in the ability to adjust to high elevations. My energy level is much improved and I don't suffer the effects of high elevations as much. I still have symptoms like not wanting to eat but I force down the food and that seems to work.

By the way that was a great article!

Thanks,
Walt

"What I've learned is that taking electrolyte supplements before a trip and during the trip makes a world of difference in the ability to adjust to high elevations. "

Walt, taking the electrolytes will cause you to retain more water internally, and that will keep you farther away from a dehydrated condition.

My theory is that dehydration makes up about 80% of the cause of altitude problems on the first day or two.

If I go too low on potassium, I just get muscle cramps.

–B.G.–

Concerning beta blockers for lowering your heart rate from altitude adjustment: my cardiologist does not recommend this.

"Concerning beta blockers for lowering your heart rate from altitude adjustment: my cardiologist does not recommend this."

I can't imagine who would have recommended it.

When you are high in the mountains, you generally want or need all of the blood pressure going that you can muster. You want all or most of the normal heart rate as well. Trying to fudge that with a beta blocker might make you feel much slower.

Increased heart rate at altitude is more of a diagnostic measure rather than something to strive for or against. A little bit of increase is normal. A lot of increase is a sign of something wrong, and typically it is of something pulmonary.

–B.G.–

I'm attempting to document the various named High Sierra Trails and am not 100% sure if "Sierra High Route" vs "Sierra Haute Route" means something different or not. Anyone have an opinion?

http://thecalifornication.tumblr.com/post/50291283129/sierra-haute-route

My understanding is as follows:

There are actually two Sierra High Routes.
One is the Roper Sierra High Route that goes from King's Canyon to Twin Lakes near Bridgeport. This is a hiking route, much of it off-trail.

The other is called the Sierra Haute Route. It is an east/west ski crossing of the Sierra from Shepard Pass to Sequoia National Park. The word 'Haute' is used to connote some similarity to the Haute Route in the Alps. Some people substitute the work 'High' for Haute.

Billy

Thanks Billy. I see the Sierra Haute Route is also called the California Haute Route — such as here: https://www.youtube.com/watch?v=QfcurDjrFzs — where the page creator attributes the route to have been defined in 1978 (or he did the photos in 1978) — don't know what the 1978 refers to here.

He states though, like you said: "California High Route Trans-Sierra Ski Traverse
from Shepherds Pass (Owens Valley to Lodgepole, Sequoia National Park) – 1978" — I think the 1978 is that he made the Youtube taken from an old 1978 slide show of photos they took then.

I think I'll use as the acronym CHR versus SHR.