We had come to see this --

There aren’t enough superlatives to describe the view. Machu Picchu was amazing, but the experience wasn’t.
For the 72 km train ride from Cuzco, good fortune smiled upon us as we had been given seats on the “Hiram Bingham” service, a fancy train car reminiscent of the Orient Express, complete with tablecloth breakfast service (fantastic, though I’m unsure why anyone would pay the $500 roundtrip).

To make it up to Machu Picchu early in the morning, we spent the night in Aguas Calientes. Set along the river and below tall lush green mountains, the hilly town itself was an ugly pit of random construction, a lot of it half-finished. Aside from shameless rip-off prices for everything, the food was terrible (running a close second to Sunauli, a Nepali-Indian border town, where at least it was cheap). I had a burger with so little meat the patty was see-through and fell apart into bits, which was then topped off with a 10% service charge…

At 5 AM, already hundreds of people were in queue for the first busses up ($7 each way, after the $40 per person entrance fee). At the gate, another line, where surly attendants randomly decided which packs were “too large” and had to be left in storage. Then, a high-altitude dash to the far side of the ruins to secure limited access to the Wayna Picchu hike. By 7:15, all 400 tickets were distributed.
Wayna Picchu is that steep narrow mountain seen in the background of all Machu Picchu photographs. The narrow path wound around, and in several sections was quite uneven and steep, requiring handrails and a little nerve. I paused at one of the Inca terraces close to the top. The view very far below was making me uneasy, and looking up was nauseating. The last 10 meters were precarious, at nearly 70˚ and up 30cm-wide ancient steps with barely enough room for the feet.
As we stood there, looking out, we heard the sickening sound of someone slipping and tumbling from above for several interminable seconds. There were horrified screams and we thought instantly that he would be down the mountain and dead. On the opposite terrace he lay, bloody with head injury and an obvious lower leg tib-fib fracture, and maybe more. Of course there was no question of a helicopter. We were completely inaccessible, except from below.
The older gentleman was conscious, but grew ash-grey, cold, and clammy. His pulse was thready. I had to get him out of his sweaty clothes and grabbed something dry to cover him up (gratitude to the Samaritan parting with his really nice jacket). A lot of people offered help (and was that a guy doing reiki in the lotus position right above me?), but we really just needed to get him down to a medical facility. It took at least an hour for several guys to climb up with a stretcher.
We fashioned a splint with branches and cloth and then strapped him down. Then the most incredible feat followed. Two men at a time hoisted the stretcher on their shoulders and literally carried it down the same treacherous steps. Two little guys carrying 100 kg for 1½ hours! At the bottom, we administered some initial treatments, and then put him on the waiting train for the three hours to Cuzco. Good fortune had smiled upon him too.