[at-l] MArch Forth trip Report - Day 7

[orangebug74@yahoo.com (Orange Bug)]

Excellent description and why I was so worried and quick to decide
whether to get help. Frankly, red urine would have me call for a
chopper quicker than any of the experiences during the blizzard up in
the Smokies. You let your situation go a bit further than I was willing
to do. Unfortunately, protein just doesn't dialyze very well with
either your kidneys or dialysis machines. Either hydration plus
diuretics get the kidneys working, or the hydration sets up cardiac
failure and multisystems failure - leading to death.

There was an excellent pearl I heard at the conference - "Beware of the
'Umbles'. When people mumble, grumble, stumble or bumble, they are in
serious trouble." These are excellent descriptions of delirium and loss
of motor control that is common among many thermal and hydration
insults. When these occur, it is important for the hiker's partners to
recognize the symptoms and take control of the situation.

Bill...

--- Jack <elexious48@home.com> wrote:

> Mine was so bad on one trek that I was taken out by chopper and my
> kidney
> enzymes were so high that the nephrologist wanted my daughter to be
> near
> very quickly and basically said I was gonna go.  I thought that in a
> hospital they could take care of that but it was not the case.  I
> became
> very afraid because I did not want my daughter to be alone; her
> husband had
> recently died.  I had some blood initially also, not like yours
> though; mine
> was bright red and then I was weak and stumbling and just had the
> feeling
> that I was going to die.  My vision blurred and if I even tried to
> walk I
> would go a couple of steps and  then slam to the ground. Also my
> muscles
> were sore as hell like I had been beaten or something.  It was a real
> trip and 5 days in ICU....


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