A barren, Namibia desert. On the one hand, this intense pain is a great spur to practice. On the other, the tendency toward spiritual materialism, bypassing/escapism, striving, etc., could be a lot worse in a person like this. The world of jhanas, nyanas, nirodha, etc., could seem awfully attractive as a way to get out of the suffering he's experiencing. However, the tough reality is that the only way to nibbana is 'the way through.'
If your in the situation above and also in Namibia. Then karma has smiled upon you. You have the opportunity to ride one of natures greatest examples of impermanance on the planet, on the way through to nibbana.