Aiyana began climbing when she was 14 years old in the Pacific Northwest, and spent her 20s guiding rafts, instructing Outward Bound courses, and leading high school students in the outdoors. She'd like to know how to rescue people from all situations, so has Avalanche Level I and Whitewater Rescue Technician training. Among Aiyana's most cherished values are sincerity, humility, and silliness. She has steadfastly sought these out in her travels through Asia and the Americas, and by instructing courses for NOLS Wilderness Medicine. When not talking about patient assessment, she can be found working on an organic farm in Southern Oregon or dreaming about rivers. The words Nepal and canyoneering are guaranteed to put a smile on her face.