A 61-year-old member from Cullompton, United Kingdom, was at Himlung Himal Base Camp in the Fu region of Nepal when his guide reported that he was having difficulty breathing and a persistent cough. He had been coughing for about 10 days since arriving in Kathmandu, and his symptoms had progressed to severe headache, insomnia, rapid breathing, chest pain, bluish discoloration of the fingertips and an oxygen saturation of 70 percent despite supplemental oxygen. The operations team approved a helicopter evacuation from base camp to a hospital in Kathmandu. There he was diagnosed with high altitude pulmonary edema, acute bronchitis and sinusitis and was discharged on antibiotics and cough medication. In follow-up he reported feeling better, though he still had some chest tightness and cough, and he chose to manage his recovery with self-care measures while remaining aware that he could request further support if needed.