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Mike Meldman - Explore Big Sky

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FIND RELIEF FOR TRAVEL-RELATED DISCOMFORT.<br />

Don’t panic if your baggage shows up late<br />

(or not at all) for your ski vacation. We’ll outfit<br />

you with much of what you need to salvage<br />

your stay. We’ve got over-the-counter medication,<br />

toiletries, and makeup. And we’ll make<br />

every effort to contact your doctor back home<br />

to keep your prescriptions filled. (You’ll also<br />

find remedies for all the headaches.) Find us<br />

across from the <strong>Big</strong> <strong>Sky</strong> Chapel.<br />

Hours: Monday-Friday, 10:00 am-6:00 pm;<br />

Closed 2:00-2:30 pm for lunch<br />

Meadow Village Center | 36 Center Ln, Suite 2<br />

406-993-9390 | www.bozemandeaconess.org/pharmacy<br />

20 March 4, 2011<br />

health & WellneSS<br />

training for the<br />

ironman at Elevation<br />

by andreW coleMan<br />

It wasn’t until Town Center was in<br />

my proverbial rearview that I began<br />

to understand exactly what I was<br />

up against. I pointed my headlamp<br />

up Route 64 as it snaked tortuously<br />

up to the base of Lone Peak. As a<br />

two-time Ironman finisher, I was<br />

relatively sure that I could handle<br />

running the 12-miles with 2000 feet<br />

of elevation gain between Ramshorn<br />

and the Medical Clinic of <strong>Big</strong> <strong>Sky</strong> just<br />

off the White Wing ski run. But as<br />

the roadway steepened, the temperature<br />

dropped, and the air thinned, I<br />

began to fixate on a conversation I had<br />

earlier in the day about high altitude<br />

illness (HAI).<br />

HAI is a medical syndrome caused<br />

by decreased oxygen levels in the air<br />

we breathe. Normally, traveling from<br />

lower to higher elevations triggers<br />

the body to increase its respiratory<br />

rate to bring more air into the lungs<br />

and its heart rate to supply more<br />

blood to the body’s tissues. But<br />

in some cases, the acclimatization<br />

process is derailed by accumulation of<br />

fluid in the brain, leading to HAI. In<br />

its mild form, called acute mountain<br />

sickness (AMS), HAI causes headache<br />

and decreased appetite. When<br />

moderate, nausea and vomiting can<br />

occur along with the headache. In<br />

severe cases of HAI—uncommon at<br />

altitudes attainable in the continental<br />

states—severe brain and lung swelling<br />

occur, followed shortly by death<br />

if the patient does not descend to a<br />

lower elevation.<br />

So there I was, passing mile marker<br />

five en route to the base of the Peak,<br />

out of breath and alone but for my<br />

mounting paranoia about becoming<br />

the poster child for why lowlanders<br />

should take it easy when they first get<br />

to <strong>Big</strong> <strong>Sky</strong>. With 25 percent of AMS<br />

(i.e., mild HAI) occurring between<br />

Medical clinic Of <strong>Big</strong> <strong>Sky</strong><br />

Physicians available after hours for emergencies<br />

Mountain Village - 995-2797<br />

Located next to <strong>Big</strong> <strong>Sky</strong> Ski Patrol<br />

6600 and 9800 feet, I was at risk anywhere<br />

in <strong>Big</strong> <strong>Sky</strong>, let alone my destination<br />

(base elevation, 7500 feet).<br />

I had only been in <strong>Big</strong> <strong>Sky</strong> for a few<br />

days, not long enough for my body<br />

to completely acclimatize, and with<br />

all the Montana microbrew sampling<br />

I had been doing, I had inevitably<br />

slowed the process (alcohol hinders<br />

acclimatization). Further increasing<br />

my risk was the weather: low<br />

temperatures and inclement weather<br />

both decrease oxygen levels in the<br />

air. But I pressed on, rationalizing<br />

that my cardiovascular fitness would<br />

compensate for the decreased oxygen<br />

availability. As it turns out, however,<br />

Ironmen are no less susceptible to<br />

HAI than your 85-year-old grandmother.<br />

In fact, young athletic males<br />

may be at the greatest risk because<br />

we tend not to give our body sufficient<br />

time to acclimatize and will<br />

often continue to ascend despite the<br />

presence of HAI symptoms.<br />

Just as I arrived at Summit Lodge, my<br />

head began to pound. I’m not sure if<br />

this was HAI or perhaps just dehydration,<br />

but I was glad I’d be taking<br />

the Summit Express back to lower<br />

pastures. It’s not likely that the<br />

denizens of <strong>Big</strong> <strong>Sky</strong> will experience<br />

HAI—after all, if you live here your<br />

body has long since acclimatized. But<br />

please, do me a favor: remind us lowlanders<br />

to give our bodies a chance<br />

to get used to the altitude before<br />

we run up mountains and, should<br />

you see the more severe manifestations<br />

of HAI take hold of someone,<br />

remember that the only treatment<br />

for moderate and severe HAI is to<br />

descend to lower elevations.<br />

Andrew Coleman will be graduating<br />

from Duke University Medical School<br />

in the spring. He plans to pursue a<br />

career in emergency medicine.<br />

The Mountain Village Clinic is open 7days a week throughout ski season 10am - 5pm<br />

Meadow town center - 993-2797<br />

Located at the corner of Ousel Falls Rd. & Hwy. 64<br />

The Meadow Village Clinic is open Mondays ONLY 10:00am - 5:00pm<br />

Jeffery a. daniels M.d.<br />

Expertise in Internal Medicine, Sports Medicine, Family Care<br />

& Well Woman Health Care<br />

**X-Ray machine on the premises**<br />

We are well equipped to handle your medical problems promptly<br />

No appoinments necessary, walk-ins always welcome<br />

Blue Cross/Blue Shield, Medicare, & Workers Compensation Insurance, Cash, Checks, Credit Cards accepted - Payment due at time of service

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