When you go on a climbing trip, everybody thinks it’s a vacation. And you can’t get PTSD from a vacation, right? Except that a winter in the Himalaya nearly destroyed Ian. He survived unroped crevasse falls, an avalanche, bivouacs in negative forty-degree weather, high altitude cerebral edema, Hepatitis A, an earthquake, oh—and also, nearly being eaten alive by fleas. When he returned to the states, he couldn’t cope with society and suffered from severe depression and PTSD.