Thirteen thousand feet high on the far side of the Himalaya mountains, we have entered the past and the future at the same time. We are a medical expedition and also a pilgrimage, consisting of doctors, nurses, Buddhist clerics, supernumeraries like me, and a large staff of guides, muleteers, and camp tenders. We are bound for the isolated villages of Upper Dolpo, a remote region of northwestern Nepal, land of the snow leopard — both the actual animal and The Snow Leopard, Peter Matthiessen’s nonfiction classic. We are traveling the same trails Matthiessen walked in 1973.
As a medical mission, our purpose is to provide primary health care to people who rarely, if ever, see a clinician. As pilgrims, our purposes are as varied as our individual identities. Mine is to make peace with the anger and grief that have dogged me since finishing a pair of books, one on climate change, the other on extinction. They left me heartsick. My delight in the beauty of the world had been joined to sorrow at its destruction, and the two emotions were like cellmates who refused to get along. Their ceaseless argument soured the taste of life. I hoped that a long walk — about 150 miles in this case — might cure the resultant moral ache. (The story of that walk provides the backbone of my new book, The Trail to Kanjiroba: Rediscovering Earth in an Age of Loss.)
The trails we followed led us into the past in the sense that the high Himalayan world — Sanskrit’s “abode of snow” — is a relic of the Pleistocene, a land of glaciers, vast spaces, stony rubble, and frigid rivers…
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