Travis (I mean Steve

), you can edit your profile and change your location if you want. You can see, though, how it threw people off.
The breathing trouble people often experience at altitude is described as "Cheyne-Stokes" breathing. Look up Diamox (acetazolamide), and consider it. Your friend should definitely take some before hiking. But at low doses -- 125 mg a day, NOT the timed release or hi-dosage stuff people sometimes get by mistake. Doctors sometimes miss the distinction, too, so when he gets it, make sure he discusses the difference.