What to do if you become ill while traveling…

This goat was chained on a hill by the road. It was sad to see.
Because I have excellent insurance coverage, when my blood pressure went through the roof, I knew I could order an ambulance and go to a hospital with an outstanding reputation, all of which would be covered by my insurance plan. The services provided to me were 100% covered by Medicare A and B, and my Plan G supplement covered any deductibles. I left the hospital without being ill. What a relief!
But, over the years, I had worried about coverage in foreign countries, especially when the travel insurance we had in the past never covered any of my previous expenses for open heart surgery and complications there. We had to pay everything out of pocket, which we did in full before we left the country.
If we hadn’t paid in South Africa, they would have tagged our passports, and we wouldn’t have been allowed to leave the country. That’s a scary thought! The result is that quality insurance is imperative when traveling. We had no idea they wouldn’t pay the enormous bill.
Getting sick in a foreign land is scary enough, let alone wondering if your insurance will ultimately pay. Of course, your first consideration is receiving quality care and getting you through the crises.
I hadn’t mentioned this in yesterday’s post…but while I was in the hospital on Thursday, Friday, and part of Saturday, I encountered issues with not having a primary care physician in Minnesota. The specialists didn’t quite know how to handle my case, which surprised me. But at least I got through the crises, and they were able to stabilize me.
The doctors even suggested I get a primary care doctor, which I had tried to do months after we first arrived, but after contacting about ten, I could not get an appointment. They were booked to as far as September, and by then, we’d be long gone. Plus, after we leave for Cleveland, having a primary care doctor in Minnesota would make no sense since we don’t plan to return for a while.
These are some of the long-term challenges of traveling the world that one must address when one needs medical care. There is nothing we could have done to prepare for such an event. Instead, as often, we figure it out as we go. All I can say is that the best thing I ever did was get signed up for Medicare with a good supplement, which I took care of while we were in Nevada during the open enrollment period.

Getting sick in a foreign country can be challenging, but there are steps you can take to manage the situation effectively. Obviously, if you have a life-threatening situation, your first concern is getting to the closest medical center, wherever you may be. If you anticipate medical issues based on your current health, here are some suggestions as to what you may do:

  1. Stay Calm: Panicking will not help. Stay calm and assess your symptoms.
  2. Rest and Hydrate: Get plenty of rest and stay hydrated. Drink bottled water if you’re unsure about the quality of tap water.
  3. Medication: Use any over-the-counter medication you brought with you. Common medications for pain relief, fever, or stomach issues can be helpful.
  4. Contact Your Embassy: Your embassy can provide guidance on medical facilities and assistance.
  5. Local Medical Facilities: Find the nearest hospital or clinic. Many countries have English-speaking doctors in major cities.
  6. Travel Insurance: If you have travel insurance, contact your provider to understand your coverage and get assistance finding medical care.
  7. Local Pharmacy: Visit a local pharmacy for advice and over-the-counter medication. Pharmacists can often provide helpful advice for minor ailments.
  8. Language Barrier: Use translation apps to communicate your symptoms if there’s a language barrier.
  9. Hygiene: Maintain good hygiene practices to avoid worsening your condition or spreading illness to others.
  10. Emergency Contacts: Keep a list of emergency contacts, including local friends, family, and your embassy.
  11. Documentation: Keep all medical documents, prescriptions, and receipts in case you need them for insurance claims or follow-up care.
  12. Follow Up: Once you return home, follow up with your primary care physician to ensure complete recovery.

We are grateful for having the appropriate health insurance and for receiving good care to help me through the crisis. Although I feel weak since leaving the hospital, I am much better, and my blood pressure is normal. I will be very grateful if I avoid another such event until we get to Cleveland Clinic.

Be well.

Photo from ten years ago today, July 29, 2014:

While on a walk, we spotted this waterfall. For more photos, please click here.

On high alert…Traveler’s warnings…What’s our plan?…In 30 days, off to Kenya…

A kindly reader of our blog posted a comment that we received overnight, inquiring as to our concern over traveling to Kenya with the recent embassy and consulate closings in countries all over the weekend. For the full article, please click here.

Yes, we’re concerned. How could we not be? It’s this level of concern that prompts us to do all we can to ensure our safety to the best of our ability. There are always unknowns.

Looking up stats on various countries worldwide, we see that Belize had a higher homicide rate per capita than Kenya. After spending almost three months living in Belize, aware of the risks, we never let our guard down, never taking our safety for granted.

Such will be the case when living in Kenya for a few days short of three months from September 3, 2013, to November 30, 2013, when we depart for South Africa. We’ll be exercising extreme caution, none of which is a guaranty of our safety but reduces the risks.

Having registered for the Smart Traveler Program at the US Department of State we’ll be receiving any warnings via email that may require us to leave Kenya or later South Africa if the tension in our area escalates.

A few portions of our travel plans to Kenya give rise to added concern; our arrival at the Mombasa Airport in the middle of the night and, the subsequent over one hour ride to our vacation rental in the middle of the night.  Most crime occurs in the dark in these high-risk areas.  Yes, we’ll be nervous until firmly ensconced in our new location. 

Have we considered changing our plans?  Yes, we have. But we’ll continue to carefully watch the world news, reports from the State Department, online posts and comments. Should these next few weeks bring rise to added concerns in the areas we plan to travel with warnings from the State Department to cancel travel plans, we’ll do so. 

We realize that doing so will cost us around $6000 from loss of paid-in-advance rent and non-refundable airfare. This is a big loss to incur but our safety supersedes money, doesn’t it?

What plans do we have in place to ensure our safety, the reader inquired?  Here are what we have thus far:

1.  Destination contact:  We’ve established a plan with my sister that we will notify her by email when we depart any area and immediately when we arrive, having provided her with the address, contact person’s name, phone, and email plus travel arrangement information for our destination. If she doesn’t hear from us within 12 hours of our estimated arrival time, she is to begin the process of finding out what’s happened to us, contacting the embassy, state department, etc.  (if we have airport delays we will contact her as they occur).
2.  No rental car. We’ve been made well aware that driving in Kenya can be risky, even in the tourist area we’ll be living. Once arriving, we’ll make arrangements with a driver for weekly trips for shopping, daytime dining out and any touring.
3.  Deciding on safari trips based on safety in a specific area, airports, etc.  The property owner suggested we wait until we arrive to decide on safaris as he will assist us in making arrangements with people he knows and trusts.
4.  News updates: With no TV at the property (as we have here in Italy with a few English speaking news stations:  BBC, France 24, and CNBC, we’ll be watching news updates on our computers on a daily basis.
5.  No venturing out after dark. Period. 
6.  No wearing of jewelry, watches, any items that may attract attention. 
7.  Dressing “down” when out during the day, jeans, shorts, tee shirts, no clothing that attracts attention.
8.  Keeping money and documents secure at all times. We carry very little cash, mostly using credit cards.
9.  Staying together at all times when out and about.
10. Never, ever, loosening our guidelines for what appears to be “special circumstances.” Neither of us is naïve.  It is unlikely that we’d fall prey to some “scammer” attempting to divert our attention. Keep walking, don’t make eye contact, be guarded with confidence and astuteness.

There is nothing anyone can do to be exempt from danger. Where we lived in Minnesota it was only a 30-minute drive to an area where one wouldn’t dare get out of their car at night, let alone during the day.  Tom’s mother’s home in a less desirable area in North Minneapolis had bullet holes in it when it was finally taken by the city by eminent domain. 

Over the years, while she still lived in the house, he and the family worried that she could fall prey to drive-by shootings occurring all over the neighborhood. Luckily, she got out in time, living to be a healthy 98 years old. 

There are risks wherever one may be at any given moment; a movie theatre in Colorado, a train in France, or running a marathon in Boston, MA.  We can only hope and pray for safety, exercising caution to the best of our ability while allowing ourselves the privilege of reveling in every moment of our world travels