Category: Health

  • Mashed Potatoes Saved my Life: An Alternative Route to Machu Picchu

    Mashed Potatoes Saved my Life: An Alternative Route to Machu Picchu

    When my sister and I began planning our trip to South America, we each had one bucket list accomplishment for the continent. Alice’s was Copacabana and mine was to do an Inca trail trek to Machu Picchu. Unfortunately, even though we were booking over six months ahead of time, by the time we had organised our dates, the traditional four day/three night Inca trail treks to Machu Picchu had all sold out. Luckily, one company offered us an alternative, the Salkantay Trek.

    A bit of research taught us that the Salkantay trail was the route taken by people who had missed out on an Inca Trail, perfect! It comes in 4d/3n and 5d/4n packages but because we had already organised our travel dates we stuck with the shorter trip, which substitutes a portion of the route with a train ride and involves one night in a hotel. The trek is a gruelling and beautiful hike through the Andes, where instead of seeing lots and lots of Inca ruins, one sees a lot more phenomenal, natural views.

    Warned about altitude sickness, we arrived in Cusco, where most Machu Picchu tours depart from, with two days to acclimatise.

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    Cusco!

    ‘Acclimatising’ in Cusco

    Cusco is one of the most culturally and historically rich and colourful cities I have ever been to – and its in the middle of nowhere! Shortly after we arrived we went on a free walking tour where we learnt about the wonders of Inca wall construction, alpacas, the trio of the puma (only to be pronounced ‘poomah’ forget what you think you know), condor and snake, as well as the city’s sad history via the Spanish invasion and, of course, the Pisco Sourz cocktail! Some way into this tour unfortunately, both my sister and I started to feel the altitude (Cusco is 3399m above sea level). Alice’s was worst first but also she was much better at coping with it. Mine started in the evening, was made worse by our hike to our hostel at the top of a hill and then NEVER LEFT. Headaches that pounded in the most literal sense, nausea and vomiting plagued us, making for a very grumpy Hilary. So while my time in the wonderful Cusco was dampened by altitude sickness, we still managed to get some practice hikes up to Christo Blanco (#notRio) and spent too many Peruvian sol on Alpaca jumpers, scarves, hats and gloves. Alice was especially good at this.

     

    Trek induction

    When we weren’t chugging down mugs of coca tea, we attended our induction for the trek. Hoping to meet our large group of trek pals we ended up being the only two in our induction due to others joining us from a 5 day trek and the rest not having yet arrived. We met our brilliant guide Juan-Carlos who talked us through the route we would be taking. Having asked in advance about the climate and clothing needed for a July, dry season trek, Alice and I were surprised to find out that wooly hats would be required. Luckily we had bought alpaca hats for our friends as gifts, so we figured we’d just take them in case we needed them. We collected our walking poles and duffle bags and headed back to the hostel to pack.

    Day 1 – a few close calls 

    The trek starts from Mollepata, a drive away from Cusco. So at 6am we were outside our hostel waiting for a minibus to Mollepata. On the minibus were our new trek mates; Juan-Carlos and his two chefs and the horseman, who all spoke to each other in the historic and cool language that is Quechua, plus C from from Switzerland, D from Hungary and Di from Brazil. A small group but spirits were high and I hadn’t even vomited yet that day so I was feeling good!

    We stopped at a small town first to get breakfast, buy coca leaves and use the toilet when unfortunately Di collapsed and hit his head badly. Despite suffering his first seizure in some time, potentially caused by the altitude, and with his head bleeding from the fall, Di still wanted to come with us. It freaked us all out, especially since he hadn’t told the company that he had a seizure related condition (so they didn’t have any extra first aid to deal with it). The company said they were happy to risk it after he signed a waiver, but that the decision was down to the rest of the group. C, D, Alice and I said no, and looking back now it was absolutely the right decision given the tough trek that was to follow. Not to mention that every story Juan-Carlos told about silly tourists going off track or doing something dangerous ended with ‘and yeah, they died’. There is no health and safety or mountain rescue out there, if something goes wrong then it goes really wrong. It was sad to see Di exit so early but it could’ve been so much worse if he’d continued.

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    Let’s go!

    With me still unable to eat due to altitude sickness and totally freaked out by what had already happened we reached Mollepata (2800m above sea level) and began our hike. So far so good, the fresh air was doing my head wonders and we were chewing on coca leaves as we climbed what we thought was a steep hill to the beautiful lagoon. This lagoon was totally breathtaking, in fact there’s no point even trying to describe it, here are some pictures.

     

    We then descended from the lagoon and were served lunch, still not far from our starting point. There was so much food, but I was still struggling to eat so I just about managed to stomach some soup and tea.

    And then shit got real. Slowly. We started the real hike. The first day was one of the longest and hardest afternoons of my life ever. In fact, I think I would say it was harder than both the London and Paris marathons. It was however, completely beautiful. As the altitude increased, I was stopping every 10m or so to catch my breath, drink water and chew some coca. D had only arrived that morning so he was also suffering with the altitude, but for fit C and Alice, they had to be very patient with us slow coaches.

     

    It then started to rain and a tricky, rocky, steep assent to our camp for the night left us exhausted, soaked and sleepy. We arrived at our camp at Soraypampa (3800m above sea level) to find our tents assembled under straw canopies. All we wanted to do was go to bed, but first dinner. D was too ill and sensibly went straight to bed, and I wish I had too. The presentation, in a cold, dark hut, of crackers, popped rice and tea was perfect, all we needed. So we ate it happily and felt ready for bed. Nope, ‘dinner will be ready in an hour or so’. The look C, Alice and I shared was one of total despair, we were fed, now we just wanted to sleep. We piled blankets on us but were still so cold. That’s probably the worst I have ever felt in my life, I kept shutting my eyes and Alice began to actually worry that I was dying. When the food came, surprise surprise I couldn’t eat, and as soon as I stood up I was really sick. However, I managed to get super warm in the tent and slept well. Alice however had a different night where she began to worry that she was dying (or at least losing toes).

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    The only photo I took at the Soraypampa camp

    Day 2 – praise be to potatoes 

    We woke up to snow, and it continued to snow all morning. Still not able to eat any of my delicious breakfast, we set off for the last hour or so of our assent. Tougher than it probably should have been because of the weather, Juan Carlos repeatedly said ‘this is freak weather! It never snows like this July!’ Which was, obviously, very comforting. We then reached the very snowy Salkantay summit at a whopping 4600m above sea level. The others jumped and took pictures, I stood quietly and focussed on not dying. It was a pretty exceptional feat in those conditions, and I’m glad I have at least one photo of me being grumpy at the summit. In fact, guess which one’s me…

     

    Promised that the altitude sickness would lessen as soon as we began our descent, we ventured onto the much quicker journey going down. Little by little I felt less death-like, and was able to really enjoy Juan-Carlos’ anecdotes and wisdom about Inca culture and traditions. Faced with lunch, it seemed like I still wasn’t going to be able to eat, an unheard of prospect for me. But then, something magical happened. Peru is a country famous for its extensive range of potatoes and various ways of cooking them. One of our chefs put down a dish of hot, sloppy mashed potatoes in front of me and the entire trek changed from there. Now I don’t want to be over dramatic, but I honestly think those mashed potatoes saved my life. They were hot, nutritious, calorific and easy to take – and thus, my appetite was reborn, and, unsurprisingly, it came back with a vengeance.

    The rest of the day was tricky as the rain continued to fall and we headed downhill quickly (literally not figuratively). This posed a bigger problem for Alice’s knees but for me, it became a much smoother ride as we entered the tropical portion of the trek. By the time we arrived at Chaullay (2900m above sea level) I was loving the trek, the company and the food, and we had an evening of popcorn and Uno under the canopy covering our raised tents.

     

    Day 3 – minimal trauma at last 

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    Alice sporting one of the wooly hats intended as a gift (now Rachel’s hat, I believe)

    I was actually quite sad to be waking up from our last night camping when I had finally got into the swing of things. The chefs presented us with a delicious cake for breakfast, since it was our last morning all together. We began walking the windy road back to semi-civilisation, crossing waterfalls and peering into tarantula nests, learning about ayahuasca and playing with lots of dogs (and a pig?) en route. By lunch time we had kissed the snow, rain and gradients goodbye and were greeted at Huadquiña by sunshine and a chance to dry ourselves out on hammocks.

     

     

    Lunch, our last meal as a full team, was a demonstration of how many different ways our chefs could cook potatoes, including tuna mayo wrapped in mashed potato.  Here D, Alice and I said goodbye to C and Juan-Carlos who would carry on for the fifth day of the trek.

     

    We were driven to the hydroelectric power station and caught a train to Aguas Calientes (2040m above sea level), the town at the foot of Machu Picchu. Here is where the tour company started to fall short, as our new guide Raúl was supposed to greet us at the station (he didn’t), give D and me some of the tickets we were missing (he didn’t) and give us the plan for the next day (he didn’t). However we had a shower and some internet, so we rested up for the big day ahead.

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    Train to Aguas Calientes

    Day 4 – Machu Picchu! 

    So per Raúl’s minimal instructions, D, Alice and I, as well as Raúl’s own trek group of about 12 people, were waiting at the bus stop to Machu Picchu at 4am, ready to see the ancient citadel at sunrise. Out of all of us Alice was the only one not at the mercy of Raúl to come along with our tickets, so despite being front of the queue we missed the first four busses because Raúl had overslept after a boozy night. We were a large group of pissed off people. Luckily it was a foggy start to the day so missing sunrise didn’t mean missing much, but I really admire Raúl’s team’s sulking abilities. They made him feel guilty as hell as he gave us the most half hearted tour of Machu Picchu ever. Once the tour was over though, the fog lifted and we were free to explore the crazy coolness of Machu Picchu, its llamas and its surprisingly low altitude (2400m above sea level). It truly is an incredible place and once you’re up there you can see exactly how it managed to be hidden for so long, as any passersby way back when would’ve had to be in exactly the right place at the right time to catch a glimpse of the citadel between the clouds and mountains.

     

     

    Included in our ticket was a hike up Huayna Picchu, the tall mountain adjacent to Machu Picchu mountain. We knew literally nothing about Huayna Picchu so when it turned out to be a massive CLIMB that was a bit of a surprise, as was the interesting (or terrifying for Alice) descent.

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    You could spend hours and hours roaming Machu Picchu if they let you. I’m so glad we came when we did though, since from next year visitors will be limited to just two hours before they have to leave, while we managed to spend an entire, incredible morning there.

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    So in conclusion… 

    Typically when we returned to Cusco my altitude sickness returned, but it wasn’t long before we descended permanently via a night bus to Lima. It was an insanely fun, difficult and adventurous four days. Thank you to my group, and particularly my sister for putting up with a very grumpy, hungry Hilary for a while there. We managed to experience every possible type of climate and dramatic situation on our trek to Machu Picchu, and while some bits I would certainly like to black out, for now Alice and I keep reminding each other of the perspective we gained: we will never be as cold as we were on the first night of the Salkantay trek.

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    Mission complete!

    Some links:

    To read more about our trip, check out my City by the Book series.

  • Does being ‘anti-pill’ make me a bad feminist? #Periodically 13

    Does being ‘anti-pill’ make me a bad feminist? #Periodically 13

    As discussed at great length (sorry) in A Tale of Two Pills I consider my relationship with hormonal contraceptives to be over. It is an unpopular opinion, one I’ve struggled to conclude myself for a long time.

    In my world, the pill has always been seen as this great feminist tool. It sat on its pedestal throughout my childhood promising independence, reproductive freedom, sexual liberation and professional advancement. All my feminist icons raved about it, my sisters took it, my friends’ acne had been cleared, boobs had flourished, pain had lessened and my school despised it – by the time I was a teenager it was the most attractive piece of candy I had ever laid my eyes on. It symbolised maturity and being a strong, no nonsense woman. Until of course, I started taking it.

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    Last week I read Sweetening the Pill: or How We Got Hooked on Hormonal Birth Control by Holly Grigg-Spall. I’ve been following Holly’s stuff for a couple of years or so now, but it took my longer than I care to admit to get to the book itself. While I can’t say I agree with everything suggested in Sweetening the Pill there were dozens and dozens of moments where I found myself saying ‘so it’s not just me!’

    “The pill is a rejection of femaleness. In swallowing the tablets women are swallowing the negative connotations that are attached to female biology,” Page 34. 

    When you strip the pill back of all the obvious benefits our doctors, and in America, the pharmaceutical companies rave about, you begin to realise that what the pill actually offers is a cure to femaleness. Hormonal acne? Take the pill. Horrible PMS? Take the pill. Heavy bleeds? Pill. Time of work due to menstruation? Pill! Period pain? Pill. And that’s before they start saying ‘hey you don’t need a period at all’ (to which the answer is the mini pill, implant or injection).

    “In lowering the hormonal levels and flattening out the fluctuations the pill takes away the natural peak of libido women experience in connection with ovulation and sometimes pre-menstruation,” page 50.

    I think the most poignant moment of Sweetening the Pill for me was the idea that when you try to suppress the natural lows of a menstrual cycle, you also inadvertently begin to suppress the natural highs. Menstrual cycles are (duh!) cyclical – that doesn’t have to be a bad thing. Good skin and hair days are often just as common as bad ones, randy days can be just as common as days when you don’t want anyone to come near you. In fact, your cycle can work for you, it’s not always a question of fighting it. Problem is, we don’t get to know how our cycle works. It can take up to six years for a menstrual cycle to mature, I was on the pill just over two years after I started my period and it took a year to become regular after I came off the pill. For many women, life on the pill is all we really know and the withdrawal from it can be so scary that it frightens us back onto the pill.

    It’s scary because when you start to think about it, you can’t not think about it. Why are we taking a pill every day when we’re only actually fertile for a few days every cycle – ought we not limit our scope a bit?

    As the book discusses at the length, the ‘anti-pill’ rhetoric has always been dominated by the Religious Right. It’s what put me off. I always assumed being opposed to the pill meant be anti-feminist, sexist and backwards. Thinking that people who spoke against the pill must be religious nuts was an opinion I held for a long time. It remains an unpopular opinion. When I talk to others about my experience with the pill I’m always sure to add the disclaimer ‘not that I’m at all suggesting you stop taking the pill,’ when actually I think that might be exactly what I’m suggesting.

    “FAM is absolutely not the same thing as the ineffective Rhythm Method, which tries to predict fertility based on the length of past cycles. Don’t believe those who tell you that FAM doesn’t work; women using it can achieve effectiveness rates as high as the pill – 99.4 percent.” Toni Weshler quoted in Sweetening the Pill, page 157. 

    What women, like myself, who have had issues with hormonal contraceptives need to do is demand more options, non-hormonal ones. Being done with hormonal birth control is not the same thing as being done with birth control. The book talks a lot about the Fertility Awareness Method (FAM). I had always associated it with the Rhythm Method, unsurprisingly preached about at my catholic school, that has been proven time and time again, not to work as a contraceptive method. Learning how FAM is different was really interesting, and it’s definitely something I’ll be looking into in the future. It’s fascinating to see how FAM and Femtech are beginning to offer an alternative.

    When the pill was released women had to stand up to their doctors to get the pill, today they must fight to get off it,” page 61. #RELATABLE 

    I want more options for female reproductive rights and I think we have the technology to find them – the research just isn’t happening as much as it should be, YET. Rejecting the pill from my own life hasn’t been an anti-feminist act but rather, it has been a feminist act of defiance for the benefit of my own quality of life, and the quality of life of other people in similar situations. In Sweetening the Pill Holly makes reference to hoards of other articles, journals and books, many of which I have now added to my reading list. Sadly, a lot of the evidence for hormonal birth control making women depressed, feel different (worse) and less libidinous is anecdotal and is rarely taken seriously. I’m hopeful that the more anecdotal evidence we report to our doctors, the more likely it will be that quantifiable research projects will take place.

     

  • Recovery & do I Regret Having the Laparoscopy? #Periodically 12

    Recovery & do I Regret Having the Laparoscopy? #Periodically 12

    I am now over three weeks post-laparoscopy. I’ve started working, from home happily, and I could be doing a lot worse. But for the sake of record, I thought I better write about how everything’s healing up.

    Badly, is the answer.

    In my blog about the surgery itself I included this picture of my stomach’s ‘transformation’.

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    Unfortunately, I think shared my before and after photos a little prematurely. Ten days after the surgery my belly button, for want of a less disgusting word, exploded. Quite literally. But it was a bank holiday weekend and we were on the way to a party, so I slapped on a plaster and carried on. Towards the end of the party my belly button was so incredibly itchy, and as I changed the plaster I discovered the explosion had continued. Hoping it would go away I stuck another plaster on and continued with my life.

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    I’ll spare you the close up, the live show made my sister gag, #sexy, but here’s how much worse it is from two days post-op.

    The Tuesday after the bank holiday I decided it was looking too suspicious and so I went to see a nurse at my new/old GP. She poked it a bit and said it wasn’t infected, covered it with an iodine gauze and said don’t shower or take the plaster off until I see you on Friday.

    Friday rolls around slowly with a lot of itching, moaning and stinging. When the nurse and the doctor remove the plaster, hoping to see a nice, dried up wound, they instead find three blisters where the lower half of the wound had been. ‘Huh, I’ve never seen that before’ is yet another thing I had never hoped to hear about my body.

    Still not convinced that this new mass growing out of me, like something from Alien, was infected, the doctor umed and ahed before saying ‘it’s the weekend – give her some antibiotics’. So the weekend went by with me being pumped full of penicillin, taking awkward half body showers, all while the delightful wound continued to blister and get redder and angrier.

    Another Tuesday later I’m back at the doctors being inspected and prodded. Still not thinking its infected, the doctor concluded it must be some sort of ‘skin reaction’ and so then I was prescribed Fucidin H (an antibiotic + steroid combo) to rub on this, the world’s most disgusting wound. During this appointment the doctor asked about my pain and pushed on my abdomen. Since my files haven’t correctly transferred from Swansea, trying to explain ‘yes it hurts but it often hurts anyway’ was a little longwinded.

    As I write this I’ve returned from the doctors again where this time two doctors had a gander. It looks like I have hyperkeratosis, meaning that the skin is out overgrowing itself. The result is that I might have a bit more of a scar than expected.

    SO THE PHYSICAL RECOVERY IS GOING GREAT. Anything too strenuous still hurts, jumping and such, and long walks conjure up some stomach pain on top of the preexisting pelvic pain so that’s nice. Meanwhile the other wound is acting quite proper and is healing up nicely. An actual nice surprise was that my cycle hasn’t been effected by the surgery at all. My period came rather promptly and behaved fairly normally.

    Given the increasingly bizarre situation of my belly button my mum said to me the other day ‘I wish you’d never had this laparoscopy’. I’ve been mulling that sentence over for a few days now. Do I regret having the surgery? After all, it didn’t find the cause of my pain and it has temporarily deformed and possibly permanently scared my abdomen.

    I can’t bring myself to regret having the surgery. Firstly, it was never really a choice. I was handed from doctor to doctor and they said ‘hey next step is surgery’ and I said ‘hey OK’. It was never an active decision, it was medical practice and advice. Every single one of my symptoms points, or pointed, towards my reproductive health. Checking my uterus out surgically when an ultrasound had displayed nothing, was the next logical step. In fact at that point in time, it was the only step. Now that we know my reproductive health is in tip top condition, we can re-giggle my symptoms and look at my body in a ‘well we know it’s not that so could it be…’ kind of way. The final reason is that to wish I’d never had the surgery achieves literally nothing. I’ve had it, it happened, we know what we know. I wish I knew more, but I don’t BUT I will. Of course it’s frustrating, but powering on is the only fruitful attitude to have.

    Besides, no one ever really saw my belly button anyway – I’ve never been one for crop tops.