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Dentistry and highpointing in Vietnam: journey to the rooftop of Indochina 12/18/2007
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By Laurie Loshaek

Three thousand one hundred forty-three meters (10,312 feet): a walk-up, right? That’s what my husband George Kasynski, our good friend Chip Drumwright, and I thought when we planned to trek to Fan Si Pan, the highest point of Vietnam, at the end of our travel and work in that country. The reality was quite different.

Being “of an age” to remember the Vietnam War that greatly impacted so many lives (even though none of us served there) and thinking about traveling to Vietnam raised mixed emotions. The journey would be far different, for example, than a climbing trip to Europe or South America. When we discovered an opportunity to work with a dental relief organization to which Chip is committed, George and I decided to go. Instead of just climbing and sightseeing in a place where our country had wreaked such devastation and where so many of our soldiers died, we could give something back.

Last November, after landing in Ho Chi Minh City (formerly Saigon and referred to both ways by the Vietnamese), we hooked up with our fellow volunteers to the relief project—the Himalayan Dental Relief Project (HDRP). This is a Colorado-based non-profit organization that recruits volunteers to provide free dental care to impoverished children. In addition to Vietnam, it operates clinics in Nepal, northern India, and is just now starting one in Guatemala. Our fellow volunteers were a hygienist, three non-medical people like us, and four dentists. One dentist had left Vietnam as a ten-year old refugee in 1975 and was returning for the first time with his wife, also a dentist and an American-born Vietnamese. They both spoke fluent Vietnamese.

Ho Chi Minh City, with its six million inhabitants—seemingly all on the go at once—introduced us to the national lifestyle of the motorbike. Entire families ride on one small bike, a phenomenon we encountered everywhere we traveled. Impossibly congested, traffic flows in patterns known only to the initiated who cross streets by a method we called “the frogger:” wait for a small opening in the traffic, walk out into the street slowly and steadily, and do not stop or turn back. Surviving the frogger became one of our biggest challenges. By the end of our trip, we were daring each other to make night frogger crossings at the larger intersections. With no pride, I attached myself to veteran crossers, followed closely, and prayed for the best.

We had a quick day of sightseeing, beginning with the horrific and sad War Remnants Museum where we saw an exhibit on survivors of Agent Orange and other horrors that occurred during what the Vietnamese call the American War: it was a thought-provoking and unsettling introduction to the country. We toured the Reunification Palace (the former Presidential Palace) with its underground warren of bombproof war rooms from which South Vietnam conducted its side of the war. From the Palace, we looked down the esplanade to the United States embassy roof where, in April 1975, as we all watched glued to the television as helicopters evacuated the last Americans just hours prior to the surrender of the South Vietnamese Government to the North Vietnamese. Additionally, we visited historical sights from the French colonial period, then we flew to Danang in Central Vietnam and went by van to Hoi An, a town by the sea with nineteenth century wooden buildings. We stayed here for six nights while we worked in the clinic.

dentistry

In Vietnam, HDRP partners with the East Meets West Foundation (EMWF), a major non-profit organization that provides an array of medical services. It is based in Danang. The EMWF set up our outreach dental clinic in a school located in a village near Danang. With our co-worker Vietnamese EMWF dentists and nurses, we worked for five days in the clinic (a large room in the school), assisting chair-side and helping to organize the seven hundred six- to twelve-year-old school children who received care while we were there. The dedication and hard work of the EMWF staff cannot be overstated. We were exhausted at the end of every day, yet the entire staff would stay much longer, washing and sterilizing in washtubs all of the instruments for the next day. Every day on our way to “work,” we passed the remains of the American military complex as well as China Beach and the still-standing Quonset huts where American helicopters were hidden from view. According to our guide, in 1968-69 the Danang airfield saw the heaviest traffic of any airport in the world.

Sightseeing

After our time in the clinic, we left our by now very good Vietnamese friends, and the three of us and most of the other volunteers left for a pre-arranged tour of different parts of Vietnam. Everywhere, from the plains of central Vietnam to the terraces of the north, farmers work rice fields with hoes or water buffalo. We saw very little machinery. Vendors carry stacks of goods piled high on motorbikes. Women shoulder bamboo poles with baskets on each end and move swiftly and gracefully through the streets, selling everything from bananas to souvenirs. We ate traditional Vietnamese dishes with rice and fresh seafood and local varieties of noodles and tropical fruits.

From Danang we traveled by bus north along the coast over Hai Van (Ocean Clouds) Pass to the lovely city of Hue, which lies along both sides of the Perfume River. After one thousand years of Chinese rule that ended in a.d. 939, several centuries of warfare followed between powerful Vietnamese families. In about 1800, Hue became the capital and the center of power for the Vietnamese emperors and mandarin aristocracy until the French colonized the country in the late 19th century. Similar to the Forbidden City in Peking, the Imperial City is replete with palaces and temples. During the 1968 Tet Offensive, Hue saw major fighting that killed thousands of civilians. The conflict leveled hundreds of acres of buildings within the Imperial City that today are agricultural fields. One day Chip, George, and I rented one-speed bicycles in their final decline and, braving motorbikes and rice-field lanes, visited a turn of the 20th century house where Ho Chi Minh lived as a child. In a monastery, we saw the car that the Buddhist monk Thich Quang Duc drove to Saigon in 1963, where he was the first to immolate himself in protest against the regime of President Ngo Dinh Diem.

After the close-to-100-degree temperatures in the south, we flew to cool and overcast Hanoi. We lined up for the Ho Chi Minh mausoleum where the North Vietnamese president is preserved—against his express wishes. We also visited the “Hanoi Hilton.” Originally a notoriously harsh French prison for Vietnamese dissidents, captured American pilots, including present-day Arizona Senator John McCain, were held there during the war. We walked narrow, nearly-impassable streets in the Old Quarter. Here, the sidewalk serves as living quarters; families have shops, eat, park motorbikes and bicycles, play chess and gamble at cards, while street vendors hawk all variety of wares. On their three-wheeled bicycles, “cyclo” drivers constantly approach tourists such as us. Passengers sit up front and the driver in the back steers head on into traffic. After our last dinner in Hanoi we decided to take cyclos; the driver we hailed called his friend on his cell phone to bring a second cyclo: a perfect example of the old and new Vietnam.

We spent an evening at the National Water Puppet Theater. Water puppetry is an ancient art form indigenous to the countryside of northern Vietnam. Puppets ride on the surface of the water attached to long poles operated by puppeteers from beneath the water; the puppets act out traditional stories. Rice farmers probably created this art when the rice fields became flooded. The water puppets perfectly embody this country of ocean, rivers, and lakes.

Highpointing

In preparation for our climb, we drank a lot of Bia Hanoi (Hanoi Beer) sitting next to the mystical Hoan Kiem Lake, one of the many lakes in Hanoi, while eating salted roasted peanuts fresh from the Old Quarter market. We also made a two-day excursion from Hanoi to Halong Bay, famous for its three thousand rock-outcrop islands that rise out of the Gulf of Tonkin in the South China Sea, a worthy goal for all list-climbers. The film Indochine has beautiful scenes evocative of this beautiful land/waterscape.

We had arranged for our trek to Fan Si Pan, the Western spelling for Phang Xi Pang, with Footprint Travel, which we found on the Internet. The cost was $215 per person. This included the train trip, our guide and porters, gear, food, and lodging in Sapa. Meeting with Footprint in Hanoi prior to the trek, we hired an extra porter for $60 because Chip and I were both recovering from recent shoulder surgeries.

On December 3, Chip, George, and I boarded the night train from Hanoi northwest to Lao Cai on the Vietnam-China border. After a very comfortable eight-hour train trip in our own cabin with individual bunks, drivers met us at the train station and took us to the town of Sapa (or Sa Pa) a former French hill-station twenty-three miles from Lao Cai.

Sapa, a worthy destination in itself, sits at 4,900 feet in the Hoang Lien Mountains. Fan Si Pan is the highpoint of the range that runs northwest to southeast for about nineteen miles between the Red and Black River basins. The surrounding mountains and valleys are the home for several groups of H’mong, Dzao, and other hill people, who wear traditional indigo-dyed clothing and headdresses. Sapa has recently boomed as tourists come to trek to the villages and shop for hand dyed and embroidered clothing and fabrics. As we found out, most tourists do not come to climb Fan Si Pan.

The road from Lao Cai to Sapa is narrow and winding. The clouds that often obscure all views around Sapa did so our first morning. It was cold and wet. Following the twists and turns of Sapa’s narrow streets, our driver deposited us at the hotel where the local trekking agency had its headquarters. We obtained rooms for the couple of hours we would be there so that we could shower and eat breakfast. Then we met our guide, Nguyen Thanh Binh and his four handpicked porters. Binh comes from Hanoi where he went to University and then to the two-year government-required school for tour guides.

There were several different ways to climb the peak. We discussed the projected route with Binh, who proposed a steep, short route up and an easier, longer route down. He planned a circle route on the eastern side of the mountain where we would start at Tram Ton Pass, walk southeast to camp, climb the east-facing ridge to the summit, descend the northeast ridge back to camp, and walk out in an easterly direction. We agreed, ignoring the advice of several experienced people we met in Vietnam to take the easiest route both up and down, because, how hard could it be? After all, we were coming from Colorado and this was a mere 10,000 feet.

hike

From Sapa, we took the van west for about thirty minutes to Tram Ton Pass, at 1,900 meters (6,232 feet) the highest pass in Vietnam. On the north side of Fan Si Pan, at the alpine start of 11 a.m., we began walking in a southeasterly direction through mist and rain into the jungle. We carried our daypacks with the typical food, water, and extra clothing for a day climb. The porters carried everything else for the three-day trek: tents, sleeping bags, and food.

A densely forested, rocky, narrow path, steep in some sections, took us up. After about two hours we took a lunch break. After lunch, we ascended further, and then descended a rough path with wet slippery bamboo roots and wet mossy rocks for an hour. Fortunately, we all had brought our trekking poles. That first day we walked five hours for about five to seven miles. With all of the various ups and downs, we accumulated 1,600 vertical feet. We saw two climbers at another camp and a single climber with his guide climbing up out of the stream basin when we were descending.

That night, we camped at 6,740 feet in the jungle by a stream. The tents and sleeping bags were what I would kindly describe as minimal. We had brought our lightweight Thermarests; otherwise, we would have been soaked very quickly. As in many developing countries where survival is top priority, the environmental practices generally were poor. Surprisingly, however, a government forest ranger lived above our camp and did check on us and speak to our group about dousing the fire before we left.

On summit day the next morning, we left camp at 8:00 a.m. Very quickly we realized that this was more than we had anticipated. Descending steeply for about half an hour through dense forest on a narrow path of more wet slippery rocks, I think we all fell at least once. George and I relinquished our daypacks to Binh and the two porters who accompanied us that day. Chip, being his usual stoic self, kept his. Next, we shimmied up a twenty-foot pole that rested against a slick rock face. We were now ascending the east-facing ridge, our planned summit day ascent route.

After another half hour or so, it dawned on us that switchbacks had yet to come to this corner of the world and that we would be jungle-climbing straight up the mountain to the summit. I think it was at this point Chip gave up his pack. We both wondered if our wounded shoulders would survive the day. Fortunately, the weather was sunny, if cool.

The steep path of slippery tree roots and rock faces never relented. Dynamic veggie holds were our good friends. Tiny steps carved in bamboo logs helped us up and over treacherous sections. At times we pulled ourselves up by grabbing bamboos shafts that had been strategically cut by the side of the trail. I soon discovered this way of climbing was much more useful than our now-worthless trekking poles. We were surprised to come upon, in different spots along the way, six somewhat-fixed ropes that we held with one hand while we climbed the rock-faces.

For a long time we could not see anything but the thick green jungle that surrounded us, including the canopy over our heads. There were a few plastic ties around branches, the only trail markers. In many spots, the trail fell vertically away to a jungle void. We struggled with virtually every move while our guide and porters were seemingly tireless. Finally, after a few hours, we came to a rock-outcrop and ridge where we took a quick break. Here, we got our first view of the peak and surrounding mountain range, but not the summit. It still looked a long way off up a steep long ridge, and I think Binh told us another two miles.

About an hour later, we arrived at the last and hardest fixed rope. This was about thirty feet. Like the rest, it was swinging free, but in addition, near the top of the pitch, it attached by a knot to a second loose rope that ran horizontally across the face. This arrangement looked dicey, so I chose to try to bushwhack up the side of the rock-face. Clinging to slick muddy rock and sharp bushes, I realized my mistake and made my way back over to the rope. On top, we could finally see the summit tantalizingly close. Hidden in the bamboo forest between us and the summit, however, awaited a last steep muddy section.

At 1 p.m., we topped out on rocks at 10,312 feet, the roof of Indochina and the high point of Vietnam. Sitting next to the large steel marker, we watched the mist swirl over rugged verdant mountain ridges and valleys that receded all around us, to China in one direction and Vietnam in the other. We were tired, but we felt we had earned what to us was a very special high point.

From camp, it was four hours and forty-five minutes and about six miles to the summit. With ups and downs, we ascended 4,370 vertical feet on summit day. We called it a third- (and in some spots fourth-) class jungle ascent. We had to hurry with photos and lunch because Binh told us it was a long way down a different route. He made sure we had our headlamps. The plan was to descend a different, easier route and then connect up to the descent route of the day before back to our river camp. Unless there was no other possible choice on the entire mountain, Chip, George, and I emphatically agreed we did not want to descend the way we had come up.

From the summit, we worked our way down the northeast ridge. We dubbed this “the tourist route” because it was a real trail. It still had steep spots where we hugged branches and bamboo stalks, but we were mostly upright. In general, the route was more moderate than our ascent and was quite pleasant with a long stretch of rolling ridge that even had handrails on sections of the trail. Unlike the green ceiling of our ascent, for most of the descent we actually had spectacular views of lush mountains for miles in every direction. Eventually we had to descend our least favorite path back down to the river using our headlamps. It was a major feat. We estimate the hike down was about seven or eight miles. At 7 p.m., we reached camp for a total of 11 hours round trip.

Exhausted, we went to bed quickly after our meal. Binh told us that the next day the walk out on still another route would be “easy.”

Drama returned the next day as the trail out was a treacherously steep, polished-mud ravine, much of which I went down on my backside. It was so bad that we all agreed if we had had to ascend by this route we probably would have given it up. While we haltingly descended, afraid of falling at every step, Binh and the porters were more or less skipping along. Every so often they waited for us. After five hours and forty minutes of descending, with a small vertical gain of 1,080 feet, we emerged at the H’mong village of Sin Chai. We waited here a very short time until the van came and returned us to Sapa, which, from this direction, was only a mile or so away.

Back in Sapa that night we went to one of those special places in Asia where you find yourself listening to Bob Dylan and drinking Bia Hanoi and becoming philosophical about the crazy juxtaposition of it all. It felt pretty good actually. Touring around Sapa on foot the next day, we visited the market where we managed to contribute many “dong” to the local economy. Late in the afternoon Binh went with us to Lao Cai where we said good-bye and the three of us took the night train back to Hanoi.

We had one day in Hanoi and then flew home. We cannot say enough about the warmth and spirit of the Vietnamese people and the magical beauty of the country. We felt very welcome as Americans. And yes, we leave many wonderful things that we experienced for you to discover on your own, which is, after all, the best part of traveling.

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