While probably politically incorrect, PUTTIA (Psychologically Unfit To Travel In Asia) is an official diagnosis here. Symptoms include sulking, unwillingness to attempt to communicate with locals, unpreparedness for weather conditions such as wearing jeans and flip-flops, inability to tolerate curry or anything spicier than ketchup, anxiety about using outhouses, and general distemper. The only definitive treatment is return to western society, fast food, and flush toilets - preferably by helicopter.
People with this condition usually present with some benign complaint requesting for immediate evacuation. I try to avoid writing medical letters for people who I do not feel truly need helicopter evacuation. However, they usually eventually get their demands met because anyone who speaks decent Nepali (guides, tea house owners, etc) can call for a rescue helicopter and leave the details of sorting out the insurance repayment to after the person is safely back in Kathmandu. Sad, but true: as long as you have enough money, anything is possible.
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