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Filler A memorable patient

Appendicitis in the Himalayas

BMJ 2007; 334 doi: (Published 21 June 2007) Cite this as: BMJ 2007;334:1321
  1. Ram Hari Ghimire, student, Institute of Medicine, Kathmandu, Nepal
  1. dr_rhg{at}

    In October 2006 a British echocardiographer, a senior house officer from Kathmandu, and myself were in Lobuje (4900 m above sea level), eight hours' walk below the Everest base camp in the foothills of the Himalayas. We were there to help with the “high altitude pulmonary edema prevention trial 2006.”

    One evening, when it was snowing outside and the dining hall of the teahouse was full of the trekkers on their way to or from Everest base camp and Kalapathar, we were busy tabulating our research data. The owner of …

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