Mike Meldman - Explore Big Sky
Mike Meldman - Explore Big Sky
Mike Meldman - Explore Big Sky
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
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