Today was fairly cloudy and busy in the clinic which is a departure from the last couple days which have been quiet and sunny. Somehow several people decided to was safe to drink the water from the tap (which is a direct line from the spring which also waters the yaks and wildlife) so we had several cases of gastroenteritis. We also had an interesting smattering of other cases which were not altitude-related.
One rather unfortunate man presented with a flare of his external hemorrhoids. While I don't doubt that they were uncomfortable, I have never encountered life-threatening hemorrhoids requiring helicopter evacuation. However this man insisted he could not continue and requested a doctors note stating his condition was altitude-related. I refused, but he found a helicopter anyway.
Luckily, things slowed down after that and Jeet made a wonderful Dahl Baat with curry vegetables for dinner.
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