My friend had a similar experience when he took his (fat) cousin up the mountain. At the top she decided to have a cigarette. About three puffs into it she put it out and started laughing…. and gasping… and laughing convulsively. The boys piled her into the back seat as she was turning purple, and laughing/gasping as they drove her down to lower elevations as fast as they could. She finally stopped gasping and recovered her pink color down around 9,000 ft. She says it was the best laugh she ever had… even if it nearly killed her!
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