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Lhasa's elevation is 3650m, which is high enough to develop high altitude sickness. Most people will develop some degrees of some symptoms, which include: headaches, fatique, shortness of breath, insomnia, etc. Have lots of rest when you arrived on the first day. Drink lots of water, but NOT alcohol. Many people can be acclimatised in a few days. And you can ask your doctor about medication that can help ease the symptoms. There are also Chinese herbal remedies in capsules (Hong Jing Tian) that you can obtain at pharmacies in Chengdu, Sichuan province.
If you do not feel well, go to the 24-hour emergency room at the People's Hospital, located about 1km north of Jokhang Temple, on Linkuo Bei Lu, #18. This is the best available hospital in Tibet, with English speaking staff. It is very important to have good health before heading farther away from Lhasa, as I mentioned in the intro page, it is very difficult to find a good hospital outside Lhasa, which can mean life and death. Leave a Comment
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 by mavl
1. bring your own supply of toilet paper.
2. bring one magazine (at least 'time magazine' size, reader's digest just won't do).
3. leave your pride at home.
the toilet paper is needed as most toilets/comfort rooms/loos in tibet don't have any. they usually don't have partitions and doors as well. mostly, there will be a hole in the ground.
if you're lucky, a hand rail will be provided (pls. see photo). thing is, i guess to save on wood, only one hand rail is usually provided for two holes in the ground. users will have to do their business sitting across each other and FACE TO FACE!!!
this is where the magazine comes in - you won't need it to catch up on the latest news, you'll need it to cover your face!!! (now you know why reader's digest just won't cut it)
now, you also know why you'll need to leave your pride at home!
if you find yourself in this situation, just try to take comfort in the fact that you'll probably never see that person across from you ever again - hopefully, anyway!
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 by mavl
i remember walking very slowly off the plane and into the airport - watching myself for any adverse signs of acute mountain sickness (AMS). all i noticed was feeling a bit light-headed about thirty minutes after arrival. i just made sure i kept breathing deeply the whole time.
the more you take things easy on your first day, the more likely you'll be ok to get your tour of tibet going the following day.
during your first night, you're likely to wake up gasping for breath every so often - this is pretty normal. just keep taking deep breaths and have your bottled water ready nearby so you can drink some during these bouts.
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 by mavl
spending significant time at higher elevations before proper acclimatization will almost surely result in acute mountain sickness (AMS) so don't risk it!
AMS, on average, kills one tourist in tibet a year. if you follow acclimatization guidelines, you don't have to end up as that statistic.
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 by mavl
this simply means that you should spend the night at elevations lower than the highest elevation you reached while going around that day, significantly lower if possible. this way, your body won't be struggling to adjust anymore during your rest and sleep hours.
follow this rule and you won't have any problems!
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 Slowly making our way up by gretsLeave a Comment
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There has been incidences where high-capacity ipods and other hard drive based devices such as laptops fail to work at high altitude (above 10,000 feet or 3,048 meters). Some damages are permanant and irreversible, while some have reported that their device worked again after decending to lower altitude. See the link below for examples. Having said that, I have seen travellers using their laptop in Lhasa (3650 meters) and they didn't encounter any problems. But there is no doubt that the higher elevation you are at, the more likely your device will fail to work.
The scientific explanation has to do with the atmospheric pressures at high altitude as most disk drives are not made for usage at high altitude, unless it is specially made with a pressurized enclosure that creates a sealed space like inside an airplane cabin.
My suggestion is bring a flash-based mp3 player such as Ipod Nano for entertainment instead, especially if you are planning to go beyond Lhasa, which mostly likely will be on even higher grounds. eg. Everest Base Camp: over 5,000 meters; Shigatse: 4,000 meters; Namtso Lake: over 4,500 meters. Leave a Comment
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 Lhasa PSB by budapest8
Step 1: Obtain a “Statement of Loss of Passport” from the Chinese Public Security Bureau (PSB) in the city in which the loss/theft occurred
The loss or theft of a passport must first be reported to the Police Station closest to where the loss/theft occured. A receipt will be issued by the Police Station. The loss or theft of a passport must then be reported to the city PSB. The PSB will then provide you a “Statement of Loss of Passport” based on the receipt issued by the Police Station. In other cities, applications should be made to the main PSB offices (the city level police).
Please note: You should report your lost or stolen passport immediately. A delay in reporting the loss or theft of a passport to the PSB can result in a delay in the issuance of a replacement visa by the PSB.
Step 2: Apply for a replacement passport at your nearest Embassy or Consulate
To apply for a replacement passport, you must usually provide the following:
1. "Statement of Loss of Passport” from the PSB in the city where the passport was lost/stolen (see Step 1)
2. Two (2) recent passport photographs (2” x 2” = 5 x 5 cm). They must show a full frontal view (without head covering) and light background.
3. Completed passport application form and Statement Regarding Lost or Stolen Passport form .For US citizens Forms are available for printing at www.travel.state.gov or at any U.S. Embassy or Consulate.
4. Satisfactory evidence of citizenship. Applicants have the burden of proving that they are citizens of that country and a passport will not be issued until evidence satisfactory to the consular officer has been provided establishing this citizenship. This could consist of:
a) The original or a certified copy of your birth certificate
b) If naturalized, your Certificate of Naturalization
Step 3: Obtain a Chinese visa from the city level PSB. (This is required, without exception, to remain in China and to leave China.) Leave a Comment
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I thought it would be something much worse that was actually the case. As we were in a group of 15 people (among us was a 60 year old woman and a 75 old man) I must say that nobody had any particularly worrisome symptoms.
Having said that, it is important to get these Tibetan herbal medicine tablets (white box with green letters), 3 a day helps a lot. Also drink a lot of water.
Avoid alcohol as it has a cumulative effect in high altitude (I got drunk with half a glass of bier!).
Don't run around. Rest, be calm. Take it slow. If you were going to do 5 things on a normal day, in Tibet do 2-3.
I had very vivid dreams at night and woke up often or couldn't sleep well. My husband felt pressure in his head and had headeaches. When I started to run around and get tired I had headaches too.
Make sure that you don't get to Lhasa tired, because your body will need all the energy that it has to acclimatise as quickly as possible. Leave a Comment
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 Goldern Rules by budapest8
When acclimatization lags significantly behind ascent, various symptoms occur. Acute Mountain Sickness (AMS) represents the body's intolerance of the hypoxic (low oxygen) environment at one's current elevation.
Who can get AMS? Anyone who goes to altitude. It is primarily related to rate of ascent. No way been found to predict who is likely to get sick at altitude. Which brings us to:
GOLDEN RULE 0.
It is OK to get altitude illness. It is not OK to die from it.
Don't violate this rule! Anybody can get AMS, there is no prevalence based on age, gender, physical fitness, or previous altitude experience. If you know what to do you should be able to avoid the severe, life-threatening forms.
GOLDEN RULE I.
Any illness at altitude is altitude illness until proven otherwise.
RECOGNIZE AMS. In the context of a recent ascent, a headache, with any one or more of the following symptoms above 2500 meters (8000 feet) qualifies you for the diagnosis of AMS:
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Loss of appetite, nausea, or vomiting
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Fatigue or weakness
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Dizziness or light-headedness
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Difficulty sleeping
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Confusion
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Staggering gait
It is remarkable how many people mistakenly believe that a headache at altitude is "normal" when it is actually AMS. Be willing to admit that you have altitude illness. Leave a Comment
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