As rain fell in Namche Bazaar, so did snow in Machermo. It is knee deep in some places and in others maybe more. The peaks surrounding Machermo are little more than black rocks to the locals but with the recent dusting, it has become completely transformed into a valley of exquisite views. The white cut through by small stone buildings or walls, or by the heavy tread of yaks and trekkers and Nepalese alike.
The yaks intrigue us greatly to the horror of our sherpa guide, Basu. We all stand on the path with our cameras poised to capture a truly Nepalese photograph as he calls to us: “Safe side, safe side,” by which he means for us to keep to the uphill side of the trail in the event that we do get knocked over by one of these great, plodding beasts. Better to fall up the hill than down it. Although it certainly is interesting trying to step off the trail into thigh high virgin snow.
Of limited experience as I am with snow, I found it absolutely fascinating trekking through it. We passed the snow line quite early, within an hour or so of leaving camp, and I was surprised by how warm it was. I need only pull the hood of my Patagonia R1 over my head and sleeves down when the wind came up the valley. It was, otherwise, too hot to trek in a hard or soft shell. The trail was slick with mud and every step was with careful consideration. The use of a single hiking pole helped keep me on my feet when the step taken was not considered carefully enough and I skidded or slipped, most often on the declining slopes. I tried to remember to dig my heels in, but when it came to the last descent before camp – which Basu himself almost skied down in his leather hiking boots – I went off track using the deep steps made by other intrepid trekkers.
In Machermo there is an established porter refuge and medical centre called the Machermo Porter Shelter and Rescue Post. It offers porters with free accommodation and medical treatment including treatment of Acute Mountain Sickness or AMS, as provided by volunteer doctors from the UK. Westerners and travellers may utilise the medical services also but for a fee comparable to that in the US (at approximately $50 per consultation which is redeemable on travel insurance). A fee that assists to maintain the rescue post so that it continues to be free for the porters. Every afternoon at approximately 15:00hrs, the volunteers provide a free presentation on AMS, HAPE and HACE, and on the general wellbeing of the porters. For a nominal fee of 100 rupees (or USD$1.00), they will measure your blood oxygenation levels which are recorded as part of a study on normal oxygenation levels and acclimatisation at 4500m per age group. The wall was covered in names recording their value. Mine was 90-91% without Diamox (I have yet to require it); a very average figure judging by the number of names stuck to the wall against 90%. The highest in the group was 97% (on Diamox) and the lowest 80% (without Diamox). One of our porters was 97% also and the doctors were so pleased with his acclimatisation and his gear outfitting, as provided by World Expeditions, that they requested to take his photo in front of the centre.
The talk itself was really very moving. It amazed and horrified me that porters are often left to find their own accommodation at night and where there is none available, sleep in caves or under the stars. I could not imagine being so barbaric. Since the founding of the International Porter Protection Group approximately 10 years ago, tour groups more and more, have been better at outfitting and caring for their porters as trekkers with greater awareness know now to ask these questions of trekking agencies. Still, however, sick porters are turned away to make their way down alone, sometimes suffering HACE or HAPE. Only in Dole we watched on with disgust as another trekker made it clear to his porter he would rather the porter-guide not share his room that night nevermind that the porter was trying to convey to him that there was nowhere else for him to stay.
(Postscript: The volunteer doctors advised us all of an incident in which an unsupported trekker, having attended the AMS talk at the Rescue Post, came across a very unwell porter on his ascent toward Gokyo. The trekker had been unable to communicate with the porter but he soon located another Nepalese porter or guide and was able to communicate his concern that the unwell porter may have AMS. The porter was carried down to Machermo by the Nepalese porter or guide and despite being placed in an oxygen tent, needed urgent evacuation to lower altitude. The volunteers were able to fundraise the money required to evacuate the sick porter by helicopter within the day by approaching other trekkers that passed through Machermo which ultimately saved the sick porter his life. Porters often come from the lowlands and are not acclimatised when they commence trekking for a company. They are just as susceptible to AMS, HACE and HAPE and can die if they are abandoned by the tour group and forced to find their own way down the mountain because they are too sick to continue.)
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