Travel Tips | Medical Care Abroad

Plan for the unexpected! You don’t want to be googling for the nearest hospital or how to call an ambulance during a medical emergency when visiting a foreign country. Trust me-been there, done that!

When Thom and I both got Covid while in Florence on a trip, the first thing I did was start researching local medical care. I was surprised that they didn’t have the urgent care centers like we do in the US where you can just walk in and see a doctor with no appointment. In Florence, if you need immediate medical care, you have to go to the emergency room at the hospital. Some cities will have medical clinics, some won’t. However, pharmacists are very helpful in European countries. They will talk to you, ask about symptoms, and suggest medications. In Florence, I was able to get several meds that helped us with our mild Covid symptoms. I did have to buy a thermometer and an oximeter in Italy, both of which I now travel with on all our trips.

After travelling to Vietnam from our home base in China during my work assignment there, we started travelling with a robust first aid kit. Thom rolled his ankle stepping off a curb our first night in Hanoi on a vacation. We quickly found out that there is no ice in Vietnam, at least none that we could find, so he held a cold Coke can to his ankle to reduce the swelling. The pharmacies were not stocked well like Europe, but we finally found a wrap and he hobbled around on our Halong Bay cruise. Now we travel with an instant ice pack and that wrap.

I decided to write this post to help others when we stayed last month at a quaint Swiss hotel in Chur that was a wood beam concussion obstacle course (see pic above) waiting to happen. If/when Thom knocked himself out after running into a beam, I wondered what I would do. Did I want to depend on the night help that may or may not be staffing the hotel front desk? Do they even have a hospital here in the middle of the Alps? Luckily, we didn’t hurt ourselves on those charming low beams but next time I travel, I will be better prepared and research in advance so if, God forbid, something happens, I can quickly take the appropriate action. I put together the following list to help me and now you to prepare for possible medical issues you may encounter when you travel.

Practical tips when you are travelling:

  1. Go to the nearest pharmacy (look for green cross sign-see pictures above) but don’t expect them to be open 24/7 like in the US. European pharmacists act like doctors in many regards and will talk with you, ask questions and can diagnose and prescribe medicine for many simple medical issues like sore throats, muscle pain, migraines, etc. My husband got what he needed from a pharmacist in Basel, Switzerland on a recent trip-easy and cheap! The pharmacist interviewed Thom and gave him meds for a persistent cough.
  2. Call 112 in most European countries for urgent medical assistance (the US 911 equivalent) or call an Uber/taxi yourself and go directly to the nearest hospital if the condition warrants it. House calls might be possible. If you are staying at hotel or an Airbnb, ask the front desk/host to assist you in finding a doctor who can come and see you.
  3. Handling medical costs-Nearly all European countries have a universal health care system. Each country will have different payment arrangements for health care, and it is not all “free” for travelers as some might assume. However, the costs are minimal compared to medical costs in the US for the uninsured. You may be asked to pay out of pocket for any medical treatment. Check your medical insurance policy before you travel. You may not be covered when you are outside the US. If you are on Medicare, it doesn’t cover healthcare during international travel. However, some Medicare Advantage (like Part C) plans may cover certain emergencies if they occur outside the United States. Check out any travel insurance plans and compare before you buy. Notify the company immediately that you purchased travel insurance from if you have to use it for an injury. They can work directly with the hospital/doctor to get bills paid-here are some sites to research:

Travel Insurance Quotes Online – TravelSafe

Buy Now | iTravelInsured Travel SE – IMG (imglobal.com)

Travel Medical Insurance (betins.com

TRAVEL MEDICAL PACKING LIST

Prescription meds (preferably packed in labeled original containers) If you forget them, ask the pharmacist for them even if you don’t have a prescription on you-they may give them to you or, better yet, take a picture of your prescription and show it to the pharmacist. Certain drugs in Europe are over the counter and don’t need a prescription like they do in the US. Make sure to follow new directions given as some meds may be stronger than the US version. The pharmacist in Paris gave me prescription thyroid meds that I forgot on a trip and didn’t need any documentation to prove I was taking it. Pack extra meds in case you are delayed.

Over The Counter Meds:

Nyquil/Dayquil

Cough suppressant

Saline nasal spray-good for preventing bloody noses

Tylenol or Advil PM (helpful to aid sleeping while adjusting to time zones)

Suntan lotion and sunburn relief (aloe vera gel)

Pain reliever: Tylenol and/or ibuprofen

Benadryl

Imodium

Tagamet

Laxatives or stool softeners

Motion sickness meds

Eye drops

Medical help:

Antibacterial wipes (clean that airplane seat space)

Hand sanitizer (so handy when using public transportation)

Self-adhesive wrap

Tiny scissors to cut gauze, etc.

Instant cold pack

Antibiotic ointment

Antiseptic to clean wounds

Band-Aids (all sizes)

Moleskin (to cover blisters)

Gauze

Medical tape

Calamine lotion

Tweezers (removing splinters, etc.)

Thermometer

Oximeter

Covid tests

Face masks-handy for areas with bad AQI and crowded spaces

Dental:

Travel Fixodent

Dental repair kit

Back issues:

Blow up pillow for hard seat (trains, concerts, etc.)

Back brace

Hair ties to make Denny roll out of towels (for back issues)

Walking stick (collapsible)

Salon PAS

CBD cream

Knee brace

Plug in heating pad (after long day of walking, we fought over who got this first)

Be safe with your travel emergency kit:

  • Make a list of all your prescription meds and take a doctor’s note that explains any prescription opioids or medications with needles. You never know when TSA may ask questions.
  • If you are travelling with kids, keep the first aid kit out of reach and locked.

With some planning and preparations before you travel, any emergency that comes up that is minor can be handled with your travel emergency kit. For serious illnesses and injuries, seek out medical care immediately. Enjoy a healthy and safe journey!

Key sites to check out before you travel:

Go to the US embassy’s site and select where you are travelling and look under the “US Citizens Services” section for medical services information.

France/Paris https://www.angloinfo.com/how-to/france/paris/healthcare/emergencies/emergencies-in-paris and https://en.parisinfo.com/practical-paris/useful-info/health-in-paris

General https://wwwnc.cdc.gov/travel/page/health-care-during-travel

Top 10 travel tips for flying

As I head out tomorrow on my 5:30 am (boarding at 4:50 am) flight, I am thinking to myself, “WTF WAS I THINKING!!!” It always seems like a good idea at the time you book, but these AM flights are killer even if they do get you from the West Coast to the East Coast before dark. I would just caution you to really think through your flight times as well as your layover times before you book. If you are going to arrive tired and cranky or have to run through a crowded airport to make a tight connection, maybe rethink your flight plans.

If you haven’t already, download the airline app on your phone for whatever carrier you are flying on. Use the boarding pass on your app to get through security and onto the plane. Set up push notifications to your phone within the app for any change to your travel plans. Gates change, flights are delayed or cancelled, and you need to be the first to know. Heads up-more and more airports are not making overhead announcements so the notification on your phone from your airline might be your only warning. If you have a flight cancel or are delayed too long that you will miss connections, jump on the airline’s app immediately while walking to the customer service desk to rebook. If you are travelling with a companion, have them call the airlines customer service at the same time. You never know where you’ll get the fastest service, so you have to try several options simultaneously because everyone else on that delayed flight is also trying to reschedule. Below are my top 10 travel tips for flying, accumulated from personally travelling all over the world. Enjoy the journey!

  1. Try to get on the first flight out in the morning even if it means getting up early (but maybe not as early as I’m getting up tomorrow!). These flights are far less likely to cancel. Later flights are subject to weather issues and cascading flight cancels as delays cause flight crews to take breaks every 16 hours they work. Getting TSA Pre-check for US travel is worth the time and $78 expense. I would never consider travelling without it as I typically get through TSA much faster and without taking liquids out or shoes off. For frequent global trips, get Global Entry for $100 that includes TSA Pre-check. More info on these programs here: Official Trusted Traveler Program Website | Department of Homeland Security (dhs.gov)
  2. If you have a major event to attend like a wedding, funeral or perhaps a concert, try to arrive at least a day or two in advance to allow for flight delays/cancels. Delays happen! If they do, try to buy a day pass to one of the airline member lounges if you don’t already have a membership. They offer comfortable seating (and even beds at some airports-see pic above of Thom reclining at Delta club in Paris!) and free food/alcohol. I spend extra to have this luxury (look at those big seats in pic above!) because it makes delays and long connections bearable when travelling. Tomorrow, I have a 3-hour layover in Minneapolis, and I’ll be checking out the new Delta club that I hear is fabulous.
  3. When booking, allow for several hours between connections. You may think that the airlines sites are showing connections that are 30 minutes when you do searches so it must be alright but that is not the case. Especially at large, busy airports and those in other countries that may require you to go through customs, you need three hours minimum between flights. Really anywhere for both foreign and domestic flights, allow 90 minutes at least between connecting flights.
  4. Always check out carefully where you are sitting on the plane. Don’t be near the bathrooms or in seats that don’t recline. Speaking of awful seats-see pic above of weird wall that was in front of my husband’s seat instead of a video screen on the seat back in front of him. This wall wasn’t showing when on the map when seats were booked. On overnight flights, try to be halfway between bathrooms and galley so that it is quieter. If you need to get up frequently, get an aisle seat. Want to lean while you sleep, then get a window seat and hug the wall.
  5. Being drunk on a plane is a federal offense so don’t overdo it. Jet lag is bad enough but jet lag+hangover will negatively impact your trip. If another passenger gets drunk and rowdy, discretely go to the flight attendant and let them handle it-they are trained and will be better equipped than you are to take care of any situation.
  6. If flights are full and people have to get bumped (yes, it happens and it’s not fair if you have a ticket, but it happens), the first people to get bumped are those who paid for the tickets not directly from the airline site. So, for example, you book your ticket through a third-party site like Expedia vs. a person who bought through the Delta site, then you, as the Expedia customer, will probably be bumped. Even better, if you are a loyal frequent flyer on one airline and get status, you have the edge over others with no status. Be loyal! Sign up for the frequent flyer program at the airline you will use most often. For me, it’s Alaska for regional travel and Delta for everything else. As far as the low-cost carriers like Southwest, you get what you pay for. Southwest has had multiple systemwide issue failures causing travel havoc. Save up and fly on a better airline.
  7. Don’t bring stinky food to eat on the plane. Not only will those around you hate you but the flight attendants will too. Don’t be that person eating the taco or tuna fish or a hardboiled egg. Yuck! P.S. Also bring along Lysol wipes and thoroughly clean off your tray table and armrests-you know the plane crew doesn’t probably have time to do a good job on every single tray table for every flight. I have a vivid memory of seeing a mother bounce her baby (clad only in a diaper) on the tray table to get them to calm down. Think about that-the residue left behind from that bouncing diaper-clad bottom….and clean, clean, clean before touching your tray table.
  8. Drink water to stay hydrated. Don’t get ice in your water or drink. Various studies show ice can be contaminated with bacteria. I don’t chance it. Your choice.
  9. Bring noise cancelling headphones OR listen to the guy next to you snoring or telling you conspiracy theories or the baby crying for hours. Also, some airplane still use the headphones with jacks to watch free movies. Carry a spare pair just in case.
  10. Dress in layers to fly. I always wear pants (shorts on a plane are just stupid-sorry), a l/s top, jacket and scarf. BTW, keep your shoes on while you fly. Please for the love of God. Wear compression socks to increase circulation and reduce swelling in your legs and feet. P.S. That’s not water on the bathroom floor on the plane in case you take your shoes off and decide to use the facilities.

I’m off to go to bed at 8 pm so that I can rise at 3 am and get to the airport for my unholy early morning flight tomorrow. The good news is that I probably won’t have a travel delay and I’ll get to Indianapolis for my family visit before it gets dark. I’m homeward bound to walk down memory lane.