THE DOCTOR WILL SEE YOU NOW

We’ve all been sick enough to know the difference between a healer and a doctor. A doctor may know medicine, and may (or may not) diagnose correctly. But a healer will do all of same and maybe also find a way to actually make you better. Not all docs are healers, and vice versa.

Docs will be the first to admit that they’re uncertain about a good percentage of the ailments we present them. Playing the odds in our favor, they treat for categories of condition, such as “inflammation”, “infection”, or muscular/skeletal. Ever have a doc lay the term “idiopathic” on you? It means “cause unknown”, but since you show the symptoms, they are knowledgeable enough to treat them, yet often unable to parse the underlying cause. Sometimes you get better, sometimes you don’t, and as an idiopathic patient, you live with the condition, die from it, or return for different treatment that you certainly can’t afford.

This is no knock on doctors. Some of my closest and most respected colleagues are docs, and I owe to them much of the credibility Tusker enjoys in its climbs on Kili, in the Himalayas, and soon to come, our treks in Bhutan. I’m just describing the accepted limits of medicine. And within those limits docs most often find a way to improve our quality of lives by alleviating symptoms.

I’m grateful they don’t shake sticks at us anymore, or use the razor to “bleed” us of our “humours”. Cutting someone who is sick seems so counterintuitive now, but the practice was bleeding edge (pardon the pun) for hundreds of years. Maybe they’ll say the same about chemo in centuries to come.

One of the greatest healers I know is doctor who never went to med school and who lives in Malawi. Fumuzapasi is his name, and he’s a witchdoctor, a “traditional healer”, as they say in polite society. Some of you who did my overland expeditions are lucky enough to have met him in his compound, and felt his hot, healing breath in your ear as he consulted you, blessed you, and somehow found a way to your deepest fears and even underlying conditions.

Others may have met his nearby colleague, Mungoma, seen here in his “operating theater”, in this dramatic video I put together.

Instead of stethoscopes, thermometers and metabolic panels, Fumuzapasi employs five fundamental tools of his trade: snuff, song, drums, dance, and his ancestors. Inside his medicine hut on dirt floors, driven by drums and copious amounts of snuff, he will sing and dance himself into a rhythmic trance, seeking contact with the spirits of his ancestors. clip_image002Once he finds them (or they him), he’s overtaken by a trance, a transcendental state that empowers him with healing vision.

And I do not say this lightly. Dozens of fortunate Tusker travelers, including me, have been exposed to his prescient intensity. As his young drummers continue to peal out their rhythms, he squats, and one by one, brings his patients close, and intuitively, guided by the spirit, he holds forth on your soul, psyche, and underlying physical conditions. The din of the drums guarantees doctor-patient confidentiality.

And then, for an honorarium, he will prepare clip_image004some juju for each patient, a dollop of specially prepared sympathetic magic to carry around in a small bag to ward of the spirits responsible for your various afflictions, be they physical, psychological or something in the realm of demonic possession. Inside the small bag goes a variety of exotic herbs, animal parts, and secret potions passed down through the generations.

Had I not seen it with my own eyes I would not believe how many of his Western patients—my friends, clients, even family—walked out from his hut awed by the accuracy of his intuition about their health and their lives. Many were driven to tears. Such is the power of a healer.

As to my own medicine, I’m reluctant to tell tales out of school, but suffice it to say he was most accurate in charting the course of my current marital bliss. Beyond that, I can recount (without naming names), a few telling episodes of Fumuzapasi’s stunning and consistent perspicacity: a young-ish man from California, blighted by a thieving businessclip_image006 associate and a meddlesome “psychic” who had broken up his marriage, returns home with his small, red “protection” bag from the witchdoctor, emblazoned by python skin and a black eagle claw. I saw it. As folk art, it was forbidding. As medicine, it seemed to carry a rarer power: soon after his return home with his medicine, the young traveler’s fortunes change: the thief contracts some mysterious, undiagnosable “nerve disease”, ending his thieving ways for good, and the psychic’s sprawling home suffers a devastating fire. Twinned coincidence or not, overkill or not, the doctor certainly honed in on this guy’s “weak” spots and provided an albeit violent cure. For his part, the patient tossed his juju into the Pacific, fearful of any more dire consequences. I’m not superstitious by any stretch. I’m just saying…

A woman, a New Yorker, rushes from Fumuzapasi’s consult in tears, tells nobody anything about what he said, but once returning home, quits her job, and returns to Africa for a life of adventure. She’s settled now, back home, with family. Later, all she had to say is that “he read my deepest fears like a book. And my fear was that I was throwing my life away.” A man with chronic back pain is told that his weakness is “his gut”. Who knows? Without a prod from the doctor, maybe the man would not have healed his bad back with a core strengthening regimen.

The doctor also functions as priest and all-world wedding planner. After consulting him, a pair of clients, a common-law couple, decide that they want him to perform their marriage. His blessing, accompanied by a hundred’s-strong singing, drumming and dancing celebration, pulling from villages all around, can only attest to the largeness of Fumuzapasi’s spirit, and his local influence. Beating all odds of holy matrimony in our culture today, these two remain a strong couple, wedded to each other, and of course, to travel. They may have survived without his blessing, but as the old saying goes, “it didn’t hoit”.

The tales go on. Only in witnessing the countless stunned (or grateful) expressions onclip_image002[4]people’s faces can I even suggest that this charismatic bear of a man is a “healer”. At the very least, a “seer” with a deep intuition about people which he is able to convey.

Perhaps Fumuzapasi’s greatest achievement lies in his charity. A schoolteacher by trade, he wound up adopting thirty AIDS orphans, raising them in his compound as his own. Some of these kids have been groomed as his “medical assistants”—drummers, singers and (importantly) witnesses.

Fumuzapasi’s healing powers come from his largeness of spirit, his willingness to embrace all-comers, including the souls of his dead ancestors, who obviously grant him a more than average “vision”. Take the emotion evoked by the memory of the dear departed—a feeling we all know—and multiply it a thousand-fold, and maybe you get a sense of his personal power, the “heft” of his personality. You cannot help but be moved by his intensity, his gentleness, and his sense of the “other”—that he sees things in his “travels”, that he knows things that we possibly could not. Whatever the channel, the man feels, and he heals. Maybe he is simply able to tap into the power of the placebo.

And the best part? Getting there is tricky, but the wait isn’t bad.

UNDER THE VOLCANO

I’m not one for New Year’s resolutions. In fact, I never make them. Between climbing at altitude year round, and stomaching lame drivers and the hypocrisy of politicians, I’m resolute enough.

I do admit, though, that during my recent New Year revelry (a bottle of Single Malt was harmed in the process), I started to feel something like one coming on: to sing the praises of the forgotten people – those who make climbing Kilimanjaro possible: my guides and porters.

They are the lifeblood and the backbone of every climb. Most folks who climb with us are, on some level, aware of their contribution, and do show gratitude, often in the form of a generous tip. But after being at home for a while, through the marvels of euphoric/selective recall, the guides’ and porters’ contributions, I’m sure, are pretty much forgotten.

Any time you hear of someone (big shot or not) who summits Kilimanjaro, remember that these are not people who did it on their own. From the very first time a muzungu climbed Kili, there were locals carrying his stuff and showing the way.

My guides and porters are mostly from Moshi or nearby villages. With barely a high school education, they form a contingent of well-trained and motivated high altitude athletes, first responders, gear haulers, problem solvers, and cooks. As champions of leadership and communication, the guides in particular are able to mingle seamlessly with – let alone lead – the often high-achieving Western climbers whose lives depend on them.

My guides have to prove themselves as porters for 4 or 5 years before they’re hired from within. Because of their medical skills and awareness of safety, they’ve changed the culture on the mountain.

No one who climbs really grasps how much goes on to make a climb possible. Behind the scenes (or better yet, under the volcano), my guides orchestrate an elaborate patchwork of coordination and planning to ensure that each climb, regardless the weather, has an adequate supply of equipment, food, and medical supplies. They’re organized, they embrace teamwork – and man, they’re incredible athletes.

Each morning, only when climbers leave camp rested and fed, ready to resume their march to the summit, do the guides and porters get their turn to eat. Then they break camp, pack up everything, rush ahead of the climbers to set up the next camp, where they start in on dinner, and then do it all over again, able to turn on a dime should a climber need to be brought down the mountain.

On our last climb, someone grabbed the wrong pack, and after a grueling final ascent to the crater, found himself, with night soon to fall, without the right gear, meds, or any camera. Guess who made the extra round-trip from Crater to camp and back again to get him the right pack?

                                                                              

While performing this incredible high-wire, my 3_volcanoguides are constantly monitoring climbers for hypothermia, abrasions, sprains, heat exhaustion, altitude sickness, respiratory problems and dehydration, which few know can be fatal. They follow a strict set of High Altitude First Responder protocols which they learn and refine in Tusker’s annual 50-hour course and exam. The rules are clear: if you don’t pass the exam, you don’t lead a trip.

These guys are so good that they’ve become the de facto Search & Rescue team on the mountain. Most other companies subcontract their guides, flying in a muzungu (most often white) to lead the trip.

Not us. We don’t need the muzungus. We have them. According to leading experts in High Altitude Medicine who’ve climbed with me – and that would include Search & Rescue leaders at Yosemite, as well as the Program Manager of DARPA’s High Altitude Development Program – Tusker’s guides are (and I quote) “second to none”.

So, wagumu, this one’s for you.

Maisha mrefu!

BHUTAN: AT LARGE IN THE LAND OF THE LINGAM

When you first arrive in Bhutan, a land the size of Switzerland touted by some as the real Shangri La, nothing can prepare you for the spectacle. I’m not talking about the serene, kind people, or the lush rice terraces, or even the 100-foot Buddhas towering over valleys that host some of the highest peaks in the world.

I’m talking about the proliferation ofBhutanese Wall Painting painted penises – you heard me – adorning monasteries, homes, and many a public-space wall. The phallus, it turns out, is a Bhutanese symbol of protection and token of good luck. I suppose you could do a lot worse.

Never mind the quiet of the land, the serenity and respectful nature of the people, or the clear lines and simple beauty of their traditional Dzong architecture, a distinctive fortress/monastery found only in Buddhist Himalayan lands. Or even the hypnotic tinkle of the prayer wheels. Shangri La, as it turns out, has embraced painted penises for deliverance, as we would our gods, or in some quarters, a gun.

The painted public penis (lingam in Sanskrit) is the legacy of the Divine Madman, aka Drukpa Kunley, one of Bhutan’s more revered saints, a 15th century poet, tantric artist and holy Llama (enlightened monk) who, as legend goes, not only mastered the art of mahamudra (hand gestures that invoke deep spirituality), but would defy demons by bonking them on the head with his … well, you catch my drift.

While we’re accustomed to a perhaps more sadistic and long-suffering religious iconography (crucifixion, crown of thorns, anyone?), the public penis spectacle does take some getting used to. I’d expect to see something like this in any one of the globe’s red light districts, but Shangri La? What would Buddha say? Given the Divine Madman’s sanctity, he’s obviously on-board.

Bhuddist MonasteryEnlightenment, it turns out, comes in all forms, and as a Buddhist land steeped in the reverence for all living things, Bhutan boasts an ethical, gentle people, who, unlike so many others, are driven by sacrifice and not materialism, and who genuinely seem to want the best for everyone.

Maybe there’s some wisdom to this phallus thing after all.

The largest misconception about Bhutan is that it is “untouristed”. That perception is based on a well-honed marketing myth that skillfully promotes the aura of an exotic, untraveled Buddhist Himalayan land. The truth is something far more mundane. There were tourist quotas in the 1970’s, but there are none – zero – to be found now.

Bhutan WildernessThe only thing resembling a quota is how few airline seats there are. That’s because there’s only one airline flying into Bhutan, Druk Air, owned by the government. And they have only 3 planes. Do the math. So few seats = so few tourists, and a limited supply of anything will always create an increased demand. The government’s clever PR campaign, based on Bhutan’s quota history, has made a virtue (so hard to get in) out of a vice (too few airline seats).

With Druk Air’s three planes flying at or near capacity, 47,000 tourists visited Bhutan in 2010 – 17,000 more than expected. No small number for a landlocked, mountainous country with an endless system of valleys whose population totals less than a million.

Bhutan BirdsMost of these tourists all travel the same worn circuit, maintained and regulated by the government. This includes Paro, Punakha and Bhumtang. Most of them are pretty much all well-off retirees, insulated from the local culture and rarely, from what I gather, get to see past the government’s tightly regulated “film”. Nor did it appear that they cared to.

They eat in government sanctioned restaurants (beware of the “Tastee Powder” = MSG!), and don’t really get to engage the local culture. The assumption being that tourists will buzz on MSG, but don’t really want to get “down and dirty”. The government, a recent Buddhist democracy, presided over by a ceremonial monarch, also does not want to see their culture watered down by decadent Westerners. For example, cigarette smokers, caught without a “license” can receive up to three years in jail.

To really discover the Land of the Lotus Flower (symbolizing the purity of Buddha’s body, speech and mind) you have to get past the official “film”. You must deviate from the heavily-constrained official joyride. It’s getting harder and harder to do, but like anywhere, your attitude dictates your latitude, and also where and how far a journey like this can go.

Bhutan BridgeThe locals are reserved at first, unlike the gregarious Nepalese, but given the chance to warm up, they do thaw. And once thawed, they treat you like a guest of honor, and the superior nature of their let-and-let-live Buddhist culture is revealed. They’re tolerant. They’re not punitive. They’re a gentle people centered on their religious world view, in a culture full of believers. And like so few other lands, they do not force conversions, or raid other countries in the name of their god(s), and they never proselytize. In respecting the sanctity of all living things, they truly have created a peace-loving society. When someone says that they prayed for your ill mother, you know that these are not empty words, and that it comes deep from the heart.

Would you expect anything less of a country of 700,000 people with 2,000 monasteries?

The best hidden secret in Bhutan is the trekking. Of the 40,000 turistas, only about 2,000 go there to trek (2,068 to be exact), and on a variety of routes, so you can just imagine how sparsely populated those routes are. Compared with the 133,000 people who trek Nepal, or the 40,000 who do Kilimanjaro annually, this is nothing.

Starting next year, we’ll be taking a select lucky few to trek on the Bhutanese Jomolhari Lingshi trail. Less than 500 people a year (457 to be exact) do this trail. Just think. We’ll make up a dozen or so of that “quota”.

When we first set out to Bhutan, for us it was a destination unknown. I deliberately did not research. I wanted to use my old school approach, pre-Google, pre-Lonely Planet Guide: land and learn. Absorb. The information comes after the trip. I wanted to find the magic. Feel the awe. It worked. We found more than we ever dreamed of. In the Land of the Lotus Flower, with such serenity and unspoiled beauty, there was no destination. There was only the journey.

 

Buddha was everywhere.

HIGH GEAR

Jambo,

This does not pretend to be an exhausting piece on all the best gear out there. You can go to Backpacker or Outside magazines for that. Rather, it tells you my preferences and gear choices I have made over 37 years of toughing it out in the African bush, and more recently, the Himalaya Mountains.

The Gore-Tex patent was issued just a few months before my first Kilimanjaro climb in 1977. The boots I climbed in back then wouldn’t have known Gore-Tex if they stepped in it. I climbed in good old steel-toed Redwing construction boots, wearing Levi jeans, a cotton sweatshirt and a cotton army surplus jacket. This broke all the modern rules of outdoor clothing. But I survived, and there are many tales told around a blistering campfire as a result. In those days, anyone wearing anything more than that was pure sissy, not that there were any other real choices. Things have come a long way since then. Nowadays, if anyone tried to climb Kili with me wearing that gear, I’d tell them to leave it at the airport. I now wear the best boots and gear that money can buy, because it’s usually the best you can get.

The old adage, “you get what you pay for,” couldn’t be truer when it comes to outdoor gear. One of the side effects of getting older and tougher in this game is that you turn into a bit of a sissy, so I’ve found. That may be true, but at least I’m a comfortable, warm and dry one.

The outdoor clothing industry is built on the same premise as any other industry – that there will always be a newer, better model next year, and you’re an idiot if you don’t buy it. My philosophy is to buy the best gear you can afford – when you first need it, and use it until it breaks; or until something substantially better comes along. After using your gear for a few days, you’ll know when something is substantially better. But outdoor products don’t change that much from season to season.

I go through at least 2 pairs of boots a year. However,                                                         after 45 Kilimanjaro climbs, clocking thousands of kilometers in the African & Mongolian bush on foot, 4×4 and horseback, I’m still trying to find the perfect boot. Every pair I’ve tried (not counting my Redwings) is Gore-Tex lined, waterproof, gives great support and practically climbs the mountain for you. Yet still, there’s not one boot that works perfectly in all terrains. Since last year, I’ve settled for two brands; the well-built Italian boot, SCARPA, for relatively flat terrain and LOWA boots. These boots are stiff, built tough, and give your feet great support. For more rocky and uneven terrain, when I need more flexibility, believe it or not, I wear the poorly made KEEN boot. Because it’s poorly made, the boots become very soft and lose their support very quickly; they allow my feet to “grip” the uneven terrain.

Also, inside every boot or shoe I wear, you’ll find a pair of SOLE custom foot-beds. A pair of these makes the difference between happy and sad feet at the end of a 25-kilometer day. I’m still looking for the perfect do-everything mountain boot. So are my feet. If you have any suggestions, let me know.

I like a snug fit in my footwear. For extra snugness, warmth and comfort, I wear a pair of BRIDGEDALE COOLMAX sock liners, inside a pair of expedition-weight Merino wool socks.

On my head I wear a $2 fleece lined wool hat, handmade in Nepal. They’re so warm, that I’ve provided 600 of my Kilimanjaro porters with one each. This wool hat has become Tusker Trail’s signature on Kilimanjaro. On my upper body, I prefer a light layer of Merino wool. Merino wool has supplanted Polypropylene as the material that best keeps you warm and dry, and it doesn’t smell after a week in the wild. In windy or wet weather I wear a 6-year old ARC’TERYX rain shell. Shells have come a long way since then, but this one has kept me dry for 6 years, and it’s paid for.

The biggest change I’ve made over the past couple years has been from a windproof fleece jacket to the newer “down sweater,” some of which are not down-filled. Actually, it’s a very lightweight down or synthetic-fill jacket which keeps the wind out and the body heat in. All the big outdoor clothing giants make them. I’ve tried them all and flip between the EDDIE BAUER FIRST ASCENT and the MOUNTAIN HARDWEAR models. These two brands are made with heavier zippers, which on the more flimsy models are the first things to break.  In a 60-kilometer wind, at minus temps, broken zippers not only render the jacket unusable, but can be dangerous as well. I also layer up with an 800-fill MOUNTAIN HARDWEAR down jacket for ultimate warmth.

Below the belt, when I’m not in shorts, I swear by my PATAGONIA GUIDE pants. When the zippered pockets are closed, these are incredibly windproof, and work great on horseback as well. When summiting Kilimanjaro, I’ll put a MOUNTAIN HARDWEAR fleece shell over the pants, or if it’s wet, a pair of ARC’TERYX waterproof Gore-Tex soft shells.

Here’s my Kilimanjaro Gear List:

Head and Face

  • Nepali wool “ski”  hat (or “toque” in Canadian)
  • Cap or hat with brim (On Tusker climbs you get a Tusker Cap – no better!)
  • Sunglasses that wrap around, or have side shields (Bucci “Alpine” or “Toro”)
  • Buff

 Upper

  • 1-2 lightweight T-shirts (Patagonia Merino Wool)
  • 1-2 lightweight long sleeve shirts (Patagonia Merino Wool)
  • 1 mid-weight long sleeve shirt (Patagonia Merino Wool)
  • 1 expedition-weight long sleeve jacket (Mountain Hardwear Fleece or Down  Sweater)
  • Down jacket with hood– (Mountain Hardwear 800-fill)
  • Waterproof shell jacket – (Arc’teryx)
  • Small camping umbrella
  • Thin gloves (Outdoor Research or Marmot)
  • Thick windproof gloves or mittens – (Outdoor Research or Marmot)
  • Waterproof shell mittens (Outer Waterproof layer by Outdoor Research)
  • Buff

Lower Body

  • 4-5 pair underwear (Under Armor)
  • 1 pair light-weight long underwear (Merino wool – Ibex)
  • 1 pair expedition-weight long underwear (Merino wool – Ibex)
  • 1 hiking shorts (Ex Officio)
  • 1-2 Hiking pants (Patagonia guide pants)
  • Waterproof shell pants (zip-up sides) (Arc’teryx)

Feet

  • 4 sock liners (Bridgedale Coolmax)
  • 5-7 thick socks (REI or Smartwool Expedition weight)
  • Hiking boots – waterproof & mid-weight (Scarpa Kailash)
  • Gaiters  – (Outdoor Research)
  • Soft-soled running shoes or light hikers (Keen)

CHARITY BEGINS AT HOME

If you spend any time traveling in Africa as I do, it’s hard to miss evidence of human suffering – by Western standards anyway. Among the many hardships Africans face are hunger, lack of potable water, inadequate health care and education, AIDS, a tragic percentage of the victims, children. This is not news.

It’s just as hard to miss how many Westerners get the urge to help. Given that the average tourist over there has so much more, materially speaking, than the average African, the impulse to help, in whatever form, is understandable, and indisputably noble.

And so, what you see proliferating as travel to Africa proliferates, are travelers volunteering time to the apparently more needful Africans, forming the basis of what is being called (derisively by some) “volunteer tourism” or “voluntourism”.

The pattern is familiar. After summiting Kilimanjaro, or completing a long-dreamed of wildlife safari, euphoric and rejuvenated, travelers volunteer for a few weeks or days. They volunteer in the best of spirit, wanting to “give back” before going back home. They volunteer mostly at villages, schools, orphanages and clinics, where most of their efforts can be directed at children. Who wants to see them suffer?

Some volunteers are honest enough to admit they’re acting out of guilt, arguing that whatever the motive, they’re doing double good: helping others, while unburdening their own conscience for having, by a mere accident of the atoms, such a sweeter life. Others deny the guilt, claiming to be acting out of pure goodness, if such a thing be possible.

Volunteer with African childrenThese brief volunteer stints seem to have little or no lasting impact.  Arguably, they do more harm than good. A volunteer’s attentions disappear the instant he or she does, and it is precisely in that moment that the austere reality of life faced by so many Africans comes into full relief: there are more people in need than there are volunteers or resources to help them.

The question to ask is whether the “labor” spent volunteering truly benefits the recipient(s) in the long run. Does a day, week, month really affect quality of life?

Truthfully, volunteerism does not help at all, unless someone has specific skills to impart, like drilling wells, or teaching children, or teaching farmers how to irrigate, rotate crops and feed their families.

Some predatory locals have gotten wise to the “voluntourism” phenomenon. Like any snake oil salesman, they find ways to extract donations (money, that is, not time) that, sadly, often wind up financing the well-equipped luxury homes enjoyed by so many charity, ahem, managers. These shill-artists prey on tourist guilt, which is why orphanages are so popular. Everyone feels sorry for a starving kid. And why you should try to excise emotions and exercise caution when making the decision where to help.

Tanzania charges a $500 visa fee to, you guessed it, volunteer. Not a bad revenue model – if any of it found its way to the needy. If you think that any of it does, I have a few good stock tips for you. And should anyone get caught “volunteering” without the proper visa, government “spies” shake them down for an even larger penalty that you can bet will help pay for some “official’s” nice new Landcruiser.

Wanting to help is not a bad thing; it’s honorable, and a pillar of our Western humanistic culture that goes back centuries. If you want to help, though, you have to clearly identify a genuine project, where no one is getting fat off the proceeds. Most people don’t know of any, or aren’t willing to do the research, so when they book with a travel co., they simply find out from the company which “cause” they recommend, and from that list, cherry-pick something attractive.

The best thing is to donate money. But that requires serious due diligence on the cause you’re writing a check to.

My MO is to identify a grass roots cause, started by a local, or locally based people, that is embryonic and needs a boot in the ass to get some momentum. Once they’re up and running, controlled by a genuine board of directors, not stealing money, are not hamstrung, and are performing the intended mission and are self-sustaining – that is, generating their own revenue, then I step in, and help them fly.

African studentsMy most recent project has been to engage my money and muscle to assist a great locally based foundation in Tanzania called TRAINING FOR LIFE. I’m advising on marketing, and am building their website and international presence. This great organization takes kids straight out of high school hoping to get into University, and preps them for the “real life” adventure, including how to prepare for not being accepted into University, or what to do once you do graduate, and can’t find a job because your dad doesn’t have enough money to bribe an exec in a country with almost 50% unemployment. REAL SCHOOLING.

It’s a very successful program. Most importantly, they don’t rely solely on handouts. Avoiding the degrading and dependent welfare-state model created by so many international AID organizations, Training for Life requires that parents cough up some money for the tuition, minimal though that is.

Charity does begin at home: by doing research.