The most painful experience that I had in high altitude astronomy was ear barotrauma on descent from the observatory. After experiencing this horrible condition a few times, I got wise and would always carry nasal decongestant medication with me to help prevent it. I saw many people experience the condition so severe that we had to stop descending in the car and sit at the side of the road until it subsided in the unfortunate high altitude worker.
-Steven Magee
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