Photographs & Narrative by Ravi Shankar
I ran through the dark narrow corridor into the cold night air. I had been having a pounding headache since my arrival and lacked the appetite for my evening meal of spaghetti and eggs. My stomach churned violently, and the bile rose in my throat ejecting the contents into the frozen ground surrounding the lodge. Vomiting always makes me uneasy and brings back unpleasant memories of my early childhood when vomiting accompanied most maladies. Luckily this was the only serious episode of altitude sickness that I had during my high-altitude travels.
We had broken most rules of acclimatising to the altitude during this trip. We had flown to the Humde/Hongde airport at Manang from the lakeside town of Pokhara, a day before. Pokhara is at around 800 m above sea level while Humde is at around 3400 m. Most flights to Manang are from Kathmandu and many Manangis are rich and sophisticated traders. The pilot did a visual inspection tour walking around the twin otter aircraft. He seemed satisfied and we were soon skyborne. The view of the Annapurna Himal (snow mountain in Nepali) in the morning sunshine was breath taking. We had lunch at the Airport Hotel in Humde and then hiked up to Khangsar at 3800m. We spent a night at a lodge run by a relative of our Humde didi  and started walking to the Tilicho Tal after a substantial breakfast of buckwheat bread, late in the morning.
A cold wind was blowing, and the trail wound through scree slopes. The hike was becoming treacherous, and we did some of the worst sections on our hands and knees. The mountain views were becoming spectacular as the Himals closed in on the valley. Our heavy backpacks threatened to unbalance us and push us over the edge to the Khangsar Khola and Marsyangadi river far below. Thorny bushes grew in the arid landscape and snagged our down jackets. We were worried about the condition of these jackets that we had rented in Pokhara. The shop owner was a patient of my fellow trekker, Dr Praveen Partha.
We could see the Tilicho base camp lodge far below. The descent was along sheer scree slopes. The soil was loose, and the ground could vanish at your feet! Running descents down 45-degree slopes were battering to the knees. Time seemed to stop as we negotiated the vertigo-inducing slopes. Eventually, we reached the valley below and the final stretch was a short level walk. The lodge was dusty and cold. There was some problem with the solar lights and only the dining room was lit.
The next morning dawned cloudy and grey. It had snowed the previous night and I was still feeling nauseous and light-headed. The lodge owner told us about an ultra-marathon race being held that day and that we might meet the runners on our way up. It was a long climb to the lake. The trail initially wound through scree slopes and then climbed more slowly through snowfields. A freezing wind was blowing, and we wore sunglasses with side blinders to protect our eyes from the reflected sunlight and avoid snow blindness. My nose was becoming numb due to the cold. We were struggling at the high altitude (above 4500 m) and in my weakened state, I was finding the going difficult.
The runners were racing through the landscape. Their fitness was astounding. The ones we had met during the early stages of our hike were now returning from the lake. We saw the trail to Yak Kharka and Thorung La in the distance. Our plan was to cross the pass and descend to the holy site of Muktinath and the city of Jomson on the other side.
The mountains provided a stark contrast. The north-facing slopes were cloaked in the snow while the south-facing ones were bare. The power of our star, the Sun even at 152 million kilometres was awe-inspiring. We continued climbing. A steep climb along a snow-covered slope and the dark blue waters of the lake could be seen in the distance. The race organizers had set up stations for the runners and race flags and posters were seen on both sides of the trail. The wind was bitterly cold. The snow-cloaked landscape was breathtakingly beautiful. The lake is located at an altitude of 4940 m. No aquatic organisms have been recorded in the lake.
Tilicho lake is believed by Hindus to be the ancient Kak Bhasundi lake mentioned in the Ramayana. The sage Kak Bhasundi told the epic to Garuda, the king of birds near this lake. The lake was also the location of the highest scuba dive by a Russian team in 2000. A trekking route skirting the lake and reaching Thini Gaon in the Kali Gandaki valley is becoming popular.
This route requires at least a night of camping as there are no lodges (tea houses) after Tilicho Base Camp till you reach Thini Gaon. I have never camped during my travels in the Himalayas. Camping gives you more options but may be more challenging in terms of logistics. Many lodges also have well-maintained camping places.
The trekking lodges in Nepal started as converted tea houses. They were places to have tea, exchange gossip, and eat food. They had been around in the hills for a long time. People hiked the trails for different reasons ranging from trade, visiting family and friends, and pilgrimage. As trekking became more popular many of these started offering travellers a place to sleep. They used to charge only for the food. Later the rooms became more elaborate and private accommodations were created. In big towns and popular locations, some have become hotels.
The cold soon drove us down from the lake and the descent was easier on the lungs. Runners were still running up the slopes. The weather was becoming cloudy, and the sun was soon cloaked by clouds. Light snow started falling. In the mountains, it often snows around noon. I was beginning to feel better but was still weak. It was around four in the afternoon when Dr Partha and I reached the base camp lodge. My appetite was slowly returning.
The next morning, we started mid-morning to the settlement of Khangsar and eventually continued to Manang village. The village has some excellent hotels and spectacular views of the Gangapurna glacier. Manang is at 3500 m and the plan was for me to rest here and see how I felt the next morning and then decide whether to continue to do the circuit trek through the pass or return down to the road head of base town of Besishahar. My bout with altitude sickness had sapped my confidence and we decided discretion was better and slowly headed down. I felt bad for Praveen who was keen to do the circuit before heading off to the greener pastures of the United Kingdom.
The Thorung pass still remains on my bucket list. Hopefully one day I will be able to do it. The Annapurna circuit trek has steadily contracted over the decades as roads have made deeper inroads into the mountains. The trek used to start from Dumre on the Kathmandu-Pokhara highway, then the trailhead shifted to Besishahar, and with the construction of the new road to the district headquarters of Chame. On the other side, there are regular buses from Pokhara and Kathmandu to Muktinath.
Tim Cahill, a travel writer from Montana, wrote, “A journey is best measured in friends rather than miles.” Praveen was perfect company. We gelled well together, we were adaptable and took the rough with the smooth. We did some interesting treks together and I am sure he must be continuing his walks in the cold English air as he thinks about medicine, health, love, happiness, and eternity!
 Elder sister in Nepali
 Lake in Nepali
 Mountain slopes littered with loose pebbles and rocks
 Alpine pasture in Nepali
 La is pass in Tibetan
 Village in Nepali
Dr. P Ravi Shankar is a faculty member at the IMU Centre for Education (ICE), International Medical University, Kuala Lumpur, Malaysia. He enjoys traveling and is a creative writer and photographer.
PLEASE NOTE: ARTICLES CAN ONLY BE REPRODUCED IN OTHER SITES WITH DUE ACKNOWLEDGEMENT TO BORDERLESS JOURNAL