Winning – surviving the bachelor party life in Lake Tahoe

H2uP on location treating a Bachelor Party

By Sean Cronin

Intense sunshine and parched, high-elevation air have all combined to sabotage your buddy’s epic bachelor party bacchanalia in Lake Tahoe. By the time everyone arrives after battling long plane flights and Bay Area traffic, you’re starving. Luckily, just over the California border in Stateline, Nev., The Lucky Beaver Bar and Grill serves up a great selection of beers and the best burgers in town 24/7.  It’s been far too long since you’ve all been together in the same place, so despite your fishing charter with Tahoe Sport Fishing Co. early in the morning, the IPAs keep flowing. Inevitably, shots are ordered ensuring someone in your group is destined to lean overboard and chum the waters with a regurgitated Gambler Burger.  The alarm goes off shortly after sunrise, having gone to bed not long before.  The weather is forecast to be perfectly sunny, but you’re still a bit foggy so you grab a beer, thinking the old “hair of the dog” approach is going to help your cause.

Five hours of fishing in the sun at a two beer per hour pace, having left your sunscreen in your carry-on, you’re in desperate need of a nap.  Your friends have a different plan.  Pulling into the dock at Zephyr Cove Beach, the single guys in your group spy a gaggle of beautiful local females playing volleyball.  They quickly devise an ill-formed plan to impress them with their waning athletic prowess on the adjacent court.  Having not set, served, or spiked a volleyball in over a decade, you reluctantly agree to their antics.  More sun, more beers, and time passes.  As the sun passes its apex in the sky and everyone’s thoughts start turning to food, you all Uber to your Airbnb in the Tahoe Keys to sh*t, shower, and shave. Easing into the evening’s festivities, you all head to The Coachman, a newly renovated boutique hotel just a few blocks behind the Stateline casinos. It’s the perfect place to chill for a bit and have a coffee, some wine, or a beer.  You all agree this place is pretty dope, with its relaxed atmosphere and quiet outdoor fire pits.  But this is a celebration of your buddy’s commitment to one woman for the rest of his life. It’s time to turn the dial up a bit.

Since you’re all grown-ups with real jobs, you beat feet to Friday’s Station Steakhouse on the 18th floor of Harrah’s. Towering floor-to-ceiling windows provide a spectacular view of the pink and purple hued sunset and a bird’s eye view of the 2nd deepest lake in the U.S. from which you reeled in that trophy Mackinaw Trout waiting to be grilled at the farewell dinner on Sunday. The talented mixologists whip up tasty libations like the peach flavored Royal Flush and decadent Cappuccino Martini. The steaks are cooked to tender perfection. You’d have shanked someone had they tried to come between you and your first-course onion soup. Yeah, it’s that good. The bill is presented and you throw your card in the hat hoping the bachelor doesn’t snag it during credit card roulette. Everyone’s anxious to keep the party going so you knock back the remaining Silver Oak Cab in your glass, dumping more sugar and sulfites into your bloodstream.

With full, distended stomachs, the crew crams into the elevator and jumps in the VIP line at Peek Nightclub, Northern Nevada’s hottest spot with gorgeous go-go dancers and rockin’ DJs.  A few straggle behind to take a chance on the pass line at the craps table.  You opt for a Red Bull and vodka and scope the scene inside the club.  The DJ is killing it, the place is maxed to capacity, and everyone is having a blast.  The last time you drank a glass of water was literally 32 hours ago.  Since then, you’ve had about 3 cups of coffee, 14 beers, and half a dozen other random alcoholic, dehydrating beverages.  It’s quickly 3am, half of your friends are unaccounted for, and you’re beyond hammered.  Congratulations!!  It’s a bachelor party after all and that should be one of your main priorities.

A ray of sunshine pierces the window of the vacation rental and shines directly onto your crusted eyelids. You peel your eyes open and take your bearings, hardly knowing where you are or how you got there.  A few half-clothed friends are fumbling through the kitchen.  Doritos and warm PBR are no way to start your day.  Barely awake, you find yourself crammed in a car en route to The Getaway Cafe in Meyers, Calif., just a few miles outside the South Lake Tahoe city limits.  Someone got word of their homemade Coconut French Toast and Chorizo Hangover Helper.

Breakfast helped, but let’s face it, the best cure for a gnarly hangover is being under 30. Now in your mid 30s, every bachelor party weekend seems to hurt just a bit more than the one before. The fitness junky in your group reminds you about drunkenly committing to a hike up Mount Tallac. At 9,735 feet, it’s arguably the grandest view you can achieve of Lake Tahoe. You propose the more leisurely, but equally scenic gondola at Heavenly Mountain Resort instead, but his tiny CrossFit brain is having none of it.  Luckily, someone had the foresight to schedule a concierge IV hangover treatment with H2uP. Time and coffee isn’t going to get your butt up that mountain. It’s going to require some medical intervention. You rally back to the house and half an hour later a team of incredible IV ninja nurses shows up. You plop down on the leather couch, throw on the latest Louis C.K. stand-up routine, and slowly come back to life as your veins suck up a variety of IV fluids, electrolytes, vitamins, and anti-nausea medications. You’d think you died and went to Heaven. Well, despite some close calls and questionable decision making, you’ve survived yet another bachelor party. Ahhhhhh, Tahoe.

Celebrity uses IV hydration service for wedding

Modern Family actress Sofía Vergara recently appeared on the Tonight Show with Jimmy Fallon and revealed that she utilized IV hydration for the guests attending her 3-day-long wedding party. She said she wanted her guests to feel well after a night of partying so that they could enjoy all the events she had planned for them. “Everybody was able to enjoy the night, again… and again,” she said. “I wish I was at this party!” Jimmy Fallon said. Let H2uP help you make the most out of YOUR wedding at beautiful Lake Tahoe!

Dr. Kandra Yee answers hydration question in the Tahoe Daily Tribune

Dr. Kandra Yee, C.F.O. H2uP
Dr. Kandra Yee, C.F.O. H2uP

Dr. Kandra Yee, C.F.O of H2uP Tahoe was featured in the Tahoe Daily Tribune. She answers a question submitted by a Tribune reader:

“What is the proper amount of water to consume in a day? We’ve all heard the classic minimum eight glasses a day, but lately I’ve been hearing/reading much different info based on gender, age and altitude.”

Her answer was:

When it comes to how much water you should drink every day the real answer is: it depends. Despite the common advice reminding us to drink eight glasses a day or more, there are no good studies that can give us an exact amount of water that is right for everyone.

For the average healthy person, you should drink enough water to stay hydrated and keep your urine light colored (slightly darker yellow urine first thing in the morning is OK). For each person this will be different and may vary day to day, depending on a number of factors.

Let’s take Rosie, for example: Rosie is a 35-year-old healthy woman with no history of heart or kidney disease. On an average day she might need eight glasses of water to stay hydrated and keep her urine light yellow. However, if she has the flu, is skiing Tallac, or hiking the Rim Trail in the hot sun, she’ll likely need a lot more water to keep up. Certainly any adventure at higher elevation will require that you drink more water than if you were doing the same thing at sea level.

Fortunately, in addition to watching the color of our urine, our bodies are designed to feel thirsty when you need to drink more water; drinking more than you actually need will only lead you to urinate more. In addition to thirst, other signs of dehydration include fatigue, dizziness and headache.

Of course, if you have heart disease, kidney disease, or are on certain medications, your doctor may have different recommendations. He or she may recommend restricting your water intake, drinking more than the average person needs, or may give you a different way of monitoring your own water intake. Always check with your doctor first in these cases.

Link to Tribune story

Why you need us for your wedding

Wedding toast

Planning and executing a beautiful wedding is not an easy feat. Lots of little pieces makes up the success of a memorable wedding for everyone. Having a wedding in Lake Tahoe takes care of a large piece of that puzzle as the beauty of the lake alone will surely make lasting impressions. But there is one piece that is not given much consideration: Tahoe’s formidable environment. The basin is located at 6500 feet and the climate is extremely dry. Accordingly, a weekend full of activities that would already dehydrate you is going to dehydrate you twice as fast.

When you factor in alcohol consumption, which most weddings tend to have, your hydration deficit gets even worse. Rehearsal dinners can get more lively than anticipated, and on what should be the best day of your life, your wedding party and guests will wake up fatigued, having headaches, nausea and generally feeling crummy. Your make-up artist may have trouble putting makeup on your dried out skin. The groom’s best buddy from college may have bought him too many shots.

You deserve to feel your best on your big day in Tahoe. If you have spent so much time and money planning the perfect Tahoe wedding, you should not be thinking about your nagging headache and be pounding caffeinated drinks just to make it through.

With H2uP’s Elevation package we can be ready to give a refreshing infusion of fluids, electrolytes, and vitamins to any members of the wedding party. Then everyone will be energized, hydrated, and ready to have an experience of a lifetime. We can do our infusions at the same time that you are getting your hair or makeup done. We can also be available for a day after the wedding revival. Our treatment takes about 30 minutes per person to complete, and we can treat multiple people at the same time. Call us to schedule your wedding weekend treatment package today!

Dehydration in Tahoe

Hydration at elevation

Lake Tahoe has plenty to do for everyone, all year round. But spending time in the high-mountains can also dehydrate you faster than you may think. Here are a few of the most common causes for dehydration in Tahoe:

1. Altitude

The altitude causes the kidneys to diurese – meaning excrete more fluid.

2. Dry climate

The low humidity causes insensible water loss, which means losing water through evaporation off your skin and in the air you breathe.

3. Increased cardiac output

Your heart has to work harder to compensate for the decreased oxygen.

4. Acute Mountain Sickness

AMS causes symptoms of anorexia and nausea, which means you don’t feel like hydrating yourself.

5. Alcohol

Alcohol is also a diuretic, and people tend to consume it when they are on vacation.

6. The Hypoxic Ventilatory Response

You breathe faster due to the lower oxygen – which increases your insensible losses.

Staying hydrated in Lake Tahoe takes constant effort. You need to drink an extra 1.5L of water at Tahoe elevation compared to sea level, and that is just at rest. Now increase that if you are going boating, skiing, mountain biking, hiking or doing any of the other activities there are to enjoy in Tahoe.

If you are going to drink alcohol, you need to increase your water intake even more.

Stay on top of your hydration and you will stay out of trouble. However, if some of those factors catch up with you and you have headache, nausea, weakness, and fatigue as a result of dehydration, then just give us a call. You don’t want to miss out on your precious time in Tahoe!

Sources

  1. Short-term responses of the kidney to high altitude in mountain climbers
  2. High-altitude medicine

Hangover-curing IV service launches in South Lake Tahoe

H2uP IV hydration service
H2uP at the Tahoe Mountain Lab
H2uP team member Jenelle doing a treatment for the Tahoe Daily Tribune at the Tahoe Mountain Lab. Photo credit: Tahoe Daily Tribune

H2uP recently did a treatment demonstration for the Tahoe Daily Tribune at the Tahoe Mountain Lab. The Tahoe Daily Tribune is doing a series of articles shedding light on various wellness offerings in the Tahoe area. The author’s conclusion:

Another vitals check revealed my pulse had relaxed. My headache was almost completely gone, the slight nausea was quelled, and I felt much more clear-headed.

So does it work? In this humble journalist’s opinion, yes. What started as a miserable morning quickly turned into a productive day at the office — and for that, H2uP, my boss thanks you.

Head over to the Tribune and read about the journalist’s H2uP Experience!

Hangover-curing IV service launches in South Lake Tahoe

The Physiology of a Hangover

Dog looking hungover

Veisalgia is my new favorite word. They didn’t teach us that one in medical school. My last name is Norwegian so I’m drawn to the viking roots of the word “kveis” meaning the “uneasiness after debauchery.”

Let’s get rid of some hangover stigma

Hangover evokes images of alcoholism, but research shows that hangover is more often associated with the light to moderate drinker.  Research also shows that the loss of productivity and missed work due to hangover costs the US alone $148 billion.

There is no research that shows that alleviation of hangover symptoms leads to increased alcohol use.  Actually, relief of the hangover leads to less likely use of alcohol, whereas feeling hungover can lead people to drink alcohol as a cure, aka “the hair of the dog.”

Let’s face it, when you are on vacation and hanging out with friends and family you don’t see often it’s easy to wind up having an extra drink or two.  I don’t know about you, but since I turned 30 all it takes to give me a hangover is 3 glasses of wine.

Despite feeling quite awful, most people don’t think to go to the hospital when they have a hangover.  You know what it is and you know that it will get better with time.  Actually, not treating your hangover symptoms is in a sense comparable to not taking Ibuprofen after spraining your knee. Now, with our help you have the means to treat your hangover symptoms more quickly.

Get the most out of your vacation

Not feeling your best and getting the most of your vacation is a waste of your resources.  You probably paid a lot of money to come to Tahoe to enjoy all our outdoor activities—don’t waste your time feeling miserable in your hotel or condo.  If you wouldn’t hesitate to seek treatment if you threw out your back or had a sore throat,  why not get treatment for a condition that makes you feel much worse than that?

Hangover patients are sick. The physiology of a hangover includes abnormal glucose metabolism, oxidative stress, endocrine and sleep cycle abnormalities.

Let’s talk about the nerdy stuff

Ethanol is absorbed in the stomach and small intestine, then metabolized by the liver. In the first step it is oxidized to acetaldehyde which is then oxidized again to acetic acid, which is then converted in the citric acid cycle to carbon dioxide and water. The liver needs NAD+ and alcohol dehydrogenase (ADH) to convert ethanol to acetaldehyde. Acetaldehyde is toxic and so it must get quickly metabolized on to the next step by acetaldehyde dehydrogenase (ALDH1 in the liver and ALDH2 in the mitochondria) and more NAD+ as the oxidizing agent.  Acetic acid is the product of that reaction, which is harmless.

Metabolism of alcohol uses up NAD+ which lowers cells oxidation capabilities which leads to impaired glucose synthesis (gluconeogenesis), accumulation of lactic acid, increased lipid production, and decreased fat and protein degradation. This can cause hypoglycemia and acidosis.

The buildup of acetaldehyde is thought to be the cause of hangover type symptoms.  Disulfiram is a drug that inhibits aldehyde dehydrogenase. Therefore drinking alcohol after taking that medication only causes buildup of acetaldehyde which essentially causes immediate headache, flushing, nausea, vomiting, and dizziness.
Most everyone knows that alcohol inhibits antidiuretic hormone.  Approximately 3 shots will cause you to lose 1.5-2 pints in the following hours. Also, low alcohol content drinks stimulate stomach acid, while hard alcohol drinks irritate the stomach lining – leading to gastritis (inflammation of the stomach).

No need for self-punishment because you had an extra drink the night before.

Let us make you feel better with an IV hydration so you can move on and get your vacation back!

References:

  1. J. G. Wiese et al., Ann. Int. Med. 2000
  2. Chemistry of a Hangover — Alcohol and its Consequences

Photo credit: TAZphotos on flicker