5th day - from Tengboche to Pheriche

Walking northeast through groves of juniper, rhododendron and fir, under a spectacular view of majestic Ama Dablam (6,814 m - 22,356 ft.) the altitude starts to shorten your breath. Mani walls and chortens announce your arrival in Pangboche (3,860 m - 12,664 ft.), home to another ancient monastery.

In Pheriche (4,280 m - 14,042 ft.), where you may spend an extra rest day acclimatizing, hospitality will be provided at the Himalaya View lodge. Pheriche, home to numerous yak pastures and potato fields, is located in a wide, windswept part of the valley.
The Himalayan Rescue Association (HRA) runs a clinic/health post in Pheriche for trekkers and porters during peak trekking months. Talks on how to avoid altitude sickness are given daily.

In this part we approach to the very high mountains, going above the forest we receive a very high degree of sun energy, a lot of UV. It's important now to protect the eyes with sunglasses, also if there is not snow on the ground, and use a high protection-degree cream for the lips (which have very delicate skin) and nose first and for the face.
We have to learn to breath better in order to compensate the altitude, over 4,000 m (13,123 ft.), and start to move slower, looking at the breath rate, which should'nt be too much accelerated.

In Periche a possibility for communication in case of need (not as a public service) is offered by the HRA Clinic which has a daily radio contact with Kathmandu and also a satellite phone.