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March 24, 2008

You Can't Dial 911 at 35,000 Feet

By Barbara S. Peterson

After the death of a woman aboard an American Airlines flight from Haiti to New York, media coverage stoked the fears all passengers have of getting ill at 35,000 feet. But it's for exactly that reason flight attendants typically spend at least a third of their training time on first aid and other emergency skills. The Federal Aviation Administration is currently investigating how well the American crew and equipment responded to that recent call for help, but meanwhile, it's worth asking what airlines tell their crews to do if you get sick. 

For some answers, I dug out a flight attendant manual for another airline that I'd picked up several years ago when I was researching airlines' flight attendant training schools for an article about how the job had evolved after 9/11. One of the main points of contention in the recent American Airlines case was whether the emergency equipment onboard the plane was in working order. But on the opening page of the "first aid" chapter, under policy, was the following line: "Flight attendants should check all emergency equipment before the initial flight of the day and anytime there is an aircraft change," and such equipment "must be checked to see if it operates properly." In fact, there were supposed to be a dozen POBS, or "portable oxygen bottles," aboard the American flight, so the odds that all would be empty or malfunctioning seem remote.

Continue reading "You Can't Dial 911 at 35,000 Feet" »

August 30, 2007

Leave a Cruise, Get Your Money Back?

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When you get sick mid-cruise, can you get your money back?
Photo: Princess Cruises

by Brook Wilkinson

Question from reader Lorettafaymonville:

"I recently took a Princess cruise from Honolulu to Tahiti with my 18-year-old-son. On the second day, Alex developed severe stomach pains and nausea. The ship's doctor said that she 'could make a good case for isolating him' but gave him 'the benefit of a doubt.' She told him not to touch railings, elevator buttons, or food tongs. I knew that if he showed more symptoms of the dreaded norovirus, he would be isolated. We were facing two days at sea, one day at Christmas Island, and two more days at sea before reaching the Society Islands. I decided to disembark in Hilo. I had to pay $600 to do so. (The next day, a doctor told us that we'd made the right decision.) We did not have travel insurance. Do we have any chance of getting Princess to reimburse us for the portion of the cruise we missed?"

You made a gesture of goodwill in voluntarily disembarking to avoid sickening other passengers, and your only hope is that the cruise line will act similarly. But don't hold your breath. Since the doctor didn't officially order you to leave the ship, Princess is not required to reimburse you for the portion of the trip you missed. I would start by faxing or mailing a formal request to the cruise line for a future cruise credit (which they're much more likely to provide than a cash reimbursement).

In the future, try to get as much information down in writing as possible; in this case, a note from the ship's doctor may well have helped you plead your case.

August 07, 2007

Beware of Lariam

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My doctor prescribed an antimalarial -- not Lariam -- when I went to the Peruvian jungle last October.
Photo: Susan Crandell

by Brook Wilkinson

If you're traveling to parts of Africa, Asia, South America, and the South Pacific, beware of malaria. But also beware of Lariam, one of the drugs used to prevent the killer infection. Why? Some of its side effects are as devastating as the disease itself.

Lariam has been prescribed to U.S. travelers who will be visiting malaria-risk areas for almost 20 years. However, studies show that a significant minority of individuals on Lariam experience adverse side effects, from nausea to nightmares to extended, deep depression. Having been warned of the side effects, I have always opted to take Malarone, a more expensive but also effective antimalarial. Of course I'm in no position to give out medical advice, but I've heard enough anecdotal stories to avoid the drug myself. I urge you to consider the risks and consult your doctor (preferably one well-versed in tropical medicine) before making a decision for yourself. You can read up on the antimalarial options in Conde Nast Traveler's March issue.

July 31, 2007

How Safe is a Surgical Safari?

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Now that's what I call recuperation: Many Americans are heading to Rio de Janeiro and elsewhere for medical procedures.
Photo: Charles Briscoe-Knight, Photographer's Choice, Getty Images

by Brook Wilkinson

Steve Forbes, proponent of the flat income tax, has now suggested a solution to our country's health care crisis: medical tourism. In an editorial in the August 13 issue of Forbes magazine (free registration is required to read the article online), he glowingly reviews the  trend among Americans to have costly medical procedures done in third-world hospitals. I beg to disagree.

Don't get me wrong -- two of the finest hospitals I've ever laid eyes on were in places I least expected to find them: Bangkok and Nairobi. A few years ago, I walked into the Bumrungrad Hospital in Bangkok, my stomach in knots thanks to a single glass of questionable water. The place looked fancier than the Oriental hotel down the street, and the doctor's visit and prescription for Ciprofloxacin cost less than $30 combined. Last spring, I accompanied a friend as she was medevac'ed to the Aga Khan University Hospital in Nairobi, where a U.S.-board certified physician correctly diagnosed her unexpected and unlikely condition, and a jacketed and gloved waiter served her meals.

Yes, it's possible to get safe medical care abroad, and even to have cosmetic and other non-emergency surgeries performed with good success. But let's not all start booking tickets for our next operation just yet. You can find comments both for and against medical tourism -- many written by doctors and dentists -- at All Blogged Up: A Moof's Tale. A quick web search will also lead you to companies like Cosmetic Vacations in Rio de Janeiro and Surgeon & Safari in South Africa. But here are some rules of thumb to think about before pulling out your passport:   

Continue reading "How Safe is a Surgical Safari?" »

May 24, 2007

Cruises That Won't Get You Sick

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Scene from my illness-free cruise on Celebrity Cruises' Constellation, February 2007. (Yup, those are my kids . . . again.)

by Wendy Perrin

Can you choose a cruise so as to minimize your chance of catching the gastrointestinal illness known as norovirus?  Yes, says this week's edition of industry newsletter Cruise Week. How?

* Cruise any time from June through October.
Norovirus is seasonal, and there are very few outbreaks in the late spring, summer, and early fall. Flu season -- especially January and February -- brings the greatest number of outbreaks.

* Pick a small luxury ship.
Crystal Cruises, Regent Seven Seas, Seabourn, and Silversea have never had norovirus outbreaks. By contrast, within the past five-plus years (Jan. 2002 through May 2007), there have been 23 outbreaks on Holland America, 18 on Princess, 13 on Carnival, 12 on Royal Caribbean, 11 on Celebrity, 10 on Norwegian Cruise Line, 4 on Cunard, and 1 on Disney (way back in 2002), according to Centers for Disease Control records.

Continue reading "Cruises That Won't Get You Sick" »

December 14, 2006

Best Medical Care For Travelers Abroad

By Wendy Perrin

I'm thrilled to see that one Todd Binkowski of International S.O.S. has written in about my last post, where I was trying to help a reader who did not find in International S.O.S the travel medical insurance he was seeking. (I had recommended International S.O.S. because I believe it provides the best medical care to travelers overseas.)

Continue reading "Best Medical Care For Travelers Abroad" »

December 14, 2006

Which Travel Medical Insurance Is Best?

By Wendy Perrin

Question from reader Cschiu in response to Travel Insurance: Best Companies:

"So it seems International S.O.S. doesn't reimburse your doctor/hospital expenses if you become sick or injured overseas.  It's more of an emergency evacuation/referral service. Do you have a travel medical insurance provider that you would recommend?"

It depends on the type of trip you're taking. (Where are you traveling to?  How close is it to home and how good are the hospitals there?   How old are you?  Do you have preexisting medical conditions and thus need a policy that will cover you if you have to cancel your trip, or abort it midway through, due to such a preexisting condition?  Are you going on a cruise, a safari, or an independent overland journey? Have you put down an initial trip deposit and, if so, when?  Etc.)

Without knowing these details, all I can do is advise you to contact both Travelex and Travel Guard International and compare how their offerings match your particular needs.   Travelex is typically more expensive and provides more extensive coverage and benefits. Good luck.


December 13, 2006

Norovirus Outbreaks On Cruise Ships

By Wendy Perrin

This year the Centers for Disease Control recorded more incidents of norovirus--a highly infectious gastrointestinal illness--on cruise ships than ever before. There were 22 outbreaks in which more than 3% of passengers and crew reported norovirus symptoms. Last year, by comparison, there were 14 such outbreaks.

Continue reading "Norovirus Outbreaks On Cruise Ships" »

November 14, 2006

Good Walking Shoes, Part 2

By Wendy Perrin

A couple of weeks ago I answered a reader's query re: the best shoes for traipsing around foreign cities.  I avoid U.S.-branded sneakers and any other flashy, non-earth-colored footwear that screams "I'm American," so I suggested either Mephisto or Dansko shoes. They are French and Danish, respectively, and are the most supportive, protective, and comfy footwear I've managed to find.

Well, I was just grabbing some mid-morning coffee in the Conde Nast Traveler kitchen and ran into a colleague who travels as often as I but is far more fashion-conscious. He swears by Geox -- Italian shoes that keep your feet dry and cool.  Just thought I should pass along the tip.

 

November 01, 2006

Good Walking Shoes For Travel Abroad

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Photo:  Dansko

By Wendy Perrin

Back from Russia and can finally answer some of the questions readers have been posting, like this one:

"Enjoying your reports from Moscow but am wondering how your feet are holding up.  My perennial concern when traveling in big cities is how to protect against my feet being sore and pulpy by midday.  Any tips on specific brands of shoes that you have found useful would be appreciated."

After two days of sightseeing in Moscow, my feet were so callused and blistered that I was limping.  That's because I opted against a car and driver (which is how Exeter International, the travel firm that arranged my trip, recommended I get around) in favor of far more affordable transport: my two feet and the metro. Unfortunately, getting from sight to sight in Moscow requires far more hoofing than your typical European city.  The distances between subway stops are much greater, many sidewalks are cobblestoned or potholed, and often it's neither easy nor safe to hail a taxi when you're tired.

Your question about shoes is a great one, and I wish I had the perfect answer.  I rarely wear sneakers overseas, since I like to blend in with the crowd rather than get pegged as an American. When I must spend much of a trip walking on uneven or unpaved streets, the shoes that work best for me are Dansko clogs. My podiatrist recommended them, and I wore them every day when I was in Turkey last summer. But they work best in dry climates. I did not bring them to Russia because the weather called for rain, and Danskos can be slippery on smooth surfaces (such as museum or palace floors, especially when the soles are wet).  So I packed Munro shoes and boots, which serve me well in cities like London and Paris (and, of course, at home in New York City) but were not enough to keep my feet from getting mangled in Moscow. My husband (the best traveler I know) swears by Mephisto walking shoes; he wore them all over Ireland last summer, and they kept his feet in good shape rain or shine.

Can anyone else recommend supportive and well-cushioned walking shoes for big cities abroad?  If so, I invite you to click on "Post a comment" below.

 

October 23, 2006

Coping With Jet Lag -- Or Not

By Wendy Perrin

Question from joe_kayaker after reading that I'm in Russia:

"So how do you deal with jet lag?  Some trips I'm fine, others I get wiped out.  I've never found a reliable way to adjust quickly."

Neither have I, Joe. That's why I'm up at 3:30 a.m. St. Petersburg time answering questions posted on this blog.  Anyone got some jet-lag tips?  If so, just click on "Post a comment" below.  Please!

 

October 06, 2006

More Travel Health Advice

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San Miguel de Allende
Photo: internetsanmiguel.com

By Wendy Perrin

So this week we've learned that when heading to countries where the food can't always be trusted, some travelers pack baby food, others take freeze-dried camping meals.  A third suggestion came in from reader Liz Duffy:

"Some locals in San Miguel de Allende, Mexico, advise their visiting house guests to begin taking acidophilus two weeks before arriving to help boost the good intestinal flora in the stomach that helps weather potentially funky foods."

Great tip, Liz.  I've never packed acidophilus myself, but now I realize there's another reason to do so: Antibiotics often cause stomach trouble that is relieved by acidophilus.  Since I usually pack an antibiotic -- I've learned the hard way that in remote, exotic places you must be your own doctor -- I should pack acidophilus too.  Here's a fun anecdote from a traveler in Asia who needed both.

Anyone else have a travel health tip to share?  Just click on "Comments" below.


October 05, 2006

Packing For Places With Scary Food

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Street stalls in India
Photo:  Indian Ministry of Health & Family Welfare

By Wendy Perrin

In my last post--the one about business travelers who take baby food with them to West Africa so they'll have something safe to eat--I asked readers what they pack for snacks when traveling to hygienically challenged parts of the world. After all, you can eat trail mix for only so many days.

Loyal reader joe_kayaker, winner of this month's prize for Best Comments Posted, shared this advice:

"As a regular traveler to India, and sometimes wilder places, I always pack several freeze-dried camping meals.  They're tastier than baby food (yup, I've tried it) and much lighter and more compact--big plusses when traveling. They're available at your local REI or camping store. You do need a source of boiling water, but in India there is almost always a tea kettle available. Boil suspect water for at least 15 minutes; better yet, boil bottled water."

Great idea, Joe.  Maybe I'll branch out from Clif Bars.  Thanks for all your enlightening tips.

 

October 04, 2006

A Business Traveler's Tip

By Wendy Perrin

On my morning train commute into Manhattan yesterday, the stranger sitting next to me managed--despite an obsessive preoccupation with his Blackberry in one hand, cell phone in the other, and Wall Street Journal in between--to notice that I was perusing an itinerary for Russia.  He asked if I was going there and said he'd been many times.  We got to talking about our favorite countries. Turned out he's a Wall Street corporate financier and seasoned international business traveler.

Twenty minutes later we were comparing the food precautions we take in different parts of Africa, Asia, and the Middle East to avoid getting sick on the job. We discussed the basics--avoiding salads, eating well-cooked meats, peeling fruit ourselves, sticking to carbonated water when the flat bottled water looks suspect--and the foods we pack for when we need to skip meals that seem unsafe.  I always take dried fruits and nuts, energy bars, and/or bread and peanut butter. He, on the other hand, swears by baby food!

Continue reading "A Business Traveler's Tip" »

October 03, 2006

Cruising And Losing

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Photo: Regent Seven Seas Cruises

By Wendy Perrin

One of the big fears about taking a cruise is that you'll come back five pounds heavier.  People have only laughed when I've suggested that, if you can resist the poolside ice cream, the tea-time scones, and the midnight buffet, a cruise is actually a great opportunity for losing weight.

Continue reading "Cruising And Losing" »

October 01, 2006

Think It Can't Happen To You? (Part 2)

By Wendy Perrin

A comment came in from reader SavvyTraveler re: my post about MedjetAssist. I wrote, "Should you get sick or injured on a trip and end up hospitalized, it will evacuate you by medical aircraft (basically a staffed I.C.U.) from the hospital overseas to the hospital of your choice (annual membership, $205; individual trip policy, $75)."  I thought I was clearly stating that what MedjetAssist does is transport you from hospital to hospital--no more, no less.  I guess not, because reader SavvyTraveler wrote back:

"I had a MedjetAssist annual plan, and it won't happen again. READ THE FINE PRINT!  First of all, MedjetAssist won't perform an evacuation unless you are hospitalized as an inpatient. Secondly, MedjetAssist doesn't cover the medical expenses you incur, even though it requires you to be hospitalized to qualify for its services.  Finally, MedjetAssist has a number of medical situations for which it won't provide evacuation services, including injuries or illnesses which can be treated by local doctors.  You can have MedjetAssist.  I'll take the medical evacuation coverage that is automatically covered in most travel insurance plans at no additional cost."

I can assure you I would not pay $205 per year for something without reading the restrictions and exclusions.  I never said that MedJetAssist is a replacement for other travel insurance!

Continue reading "Think It Can't Happen To You? (Part 2)" »

September 27, 2006

Think It Can't Happen To You?

By Wendy Perrin

Many travelers are shocked when they hear how much an emergency medical evacuation from a foreign country to their hospital back home can cost.  Today MedjetAssist, the medical evacuation service, is paying $65,000 to transport back to Philadelphia a client who fell and broke her hip in Budapest.  And that's the wholesale rate.  If the woman had arranged the medical transportation on her own, it would have cost 15% to 20% more.

That's what Roy Berger, MedjetAssist's president, was telling me in my office earlier today. Here's what I already knew about MedjetAssist: Should you get sick or injured on a trip and end up hospitalized, it will evacuate you by medical aircraft (basically a staffed I.C.U.) from the hospital overseas to the hospital of your choice (annual membership, $205; individual trip policy, $75). What I didn't know but am extremely glad I know now is this:  Even if you don't own a MedjetAssist policy, if you're traveling and suddenly require evacuation to your hospital back home, MedjetAssist can provide it--at a lower cost than what you'd pay if you tried to arrange it on your own.

Continue reading "Think It Can't Happen To You?" »

September 26, 2006

Avoiding Seasickness

By Wendy Perrin

In YOU DON'T KNOW CRUISING . . . Until You've Read This (Conde Nast Traveler, August 2006), the booklet I wrote on how to choose the right cruise and maximize your enjoyment of it, I included Seasickness Tips based on remedies that have worked for me on ten different cruises.  A reader wrote in to suggest an additional fix: The ReliefBand.  I have not personally tested the ReliefBand at sea, but I must say it did help a lot when I used it on land to combat morning sickness.  You wear it like a wristwatch, and it sends electrical signals into the nerves, interfering with nausea-inducing messages sent between the brain and the stomach.  Now another reader has written in to suggest a wristband that uses no electrical signals: the Acuband, a pressure-sensitive, acupressure-based band.  Like the ReliefBand, it does not cause drowsiness or have any drug side effects, but it costs $77 less.

I'll test out both of these wristbands on my next cruise and report back.

September 26, 2006

Avoiding Seasickness

By Wendy Perrin

In YOU DON'T KNOW CRUISING . . . Until You've Read This (Conde Nast Traveler, August 2006), the booklet I wrote on how to choose the right cruise and maximize your enjoyment of it, I included Seasickness Tips based on remedies that have worked for me on ten different cruises.  A reader wrote in to suggest an additional fix: The ReliefBand.  I have not personally tested the ReliefBand at sea, but I must say it did help a lot when I used it on land to combat morning sickness.  You wear it like a wristwatch, and it sends electrical signals into the nerves, interfering with nausea-inducing messages sent between the brain and the stomach.  Now another reader has written in to suggest a wristband that uses no electrical signals: the Acuband, a pressure-sensitive, acupressure-based band.  Like the ReliefBand, it does not cause drowsiness or have any drug side effects, but it costs $77 less.

I'll test out both of these wristbands on my next cruise and report back.

September 22, 2006

Laptop Headaches For Coach Fliers

By Wendy Perrin

Last week I wrote about the latest carry-on ban: laptop batteries. On Virgin Atlantic, Qantas, and Korean Air, you're not allowed to use your laptop unless the battery is removed and the laptop is plugged into a power source.  Since electrical outlets exist pretty much only in premium-class cabins, this means that if you're flying in coach you can't use your laptop!  Why the battery ban?  Certain batteries (which have been recalled) have been overheating and igniting on planes, including on United last Friday at LAX. I've been reading about the ban for the last week at engadget.com.

Yesterday I finally saw this fiasco covered in print, in The Wall Street Journal.  Its article mentioned that the bans "have received little publicity." Why the press isn't paying more attention to this baffles me. I fly in coach, and my laptop is not only how I remain efficient but also how I block out the rest of the world on these otherwise intolerable flights. The prospect of being forbidden to use it on a long plane ride is enough to make my head explode the way the batteries have been doing.

Flying is already enough of a headache.  If the ban spreads to United or other U.S. airlines, and we're still restricted from bringing water onto planes, I'm buying stock in Tylenol. Just this morning I received an email about Tylenol's new GoTabs -- chewable Extra Strength Tylenol tablets that quickly break down without water and have a "spearmint ice" flavor. Once these GoTabs are in stores--the official launch date is October 1--you can be sure they'll be in my carry-on as well.


September 20, 2006

How To Avoid Checking Luggage

By Wendy Perrin

A few weeks ago I wrote about the huge increase in checked luggage at U.S. airports because of the new restrictions for carry-on bags and about how the airlines are logging the largest number of lost luggage reports in 16 years. Checked baggage is now up a whopping 30% in some locations.  An article in today's USA Today reports that the airport bomb-detecting machines that screen checked baggage "operate so slowly that . . . sometimes . . . bags don't make it onto their flights."   

The solution, of course, is to not check luggage.  Which is why some people are now shipping suitcases ahead.  Some are buying toiletries upon arrival at their destination. Others are replacing the make-up, hygiene, and health-care products they've used for years with other brands.

Personally, I consider the first option too expensive, the second too great a hassle, and the third too steep a learning curve.  My solution is to pack in my toiletry kit--which lives in my carry-on bag-- small, individually wrapped packets of the liquid or gel products I normally use.  Instead of hand-sanitizing gel in a container, for instance, I buy individually wrapped hand-sanitizing wipes. Instead of antiseptic ointment I bring sealed packets of antiseptic towelettes.  Instead of liquid Nyquil I bring packets of Nyquil softgel capsules. Instead of a spray can of insect repellent I carry sealed packets of repellent towelettes. 

And now, thanks to Upgrade: Travel Better, I know of a nifty source for these small packets: Minimus.biz.  Hey, if Minimus products are good enough for NASA--there are Minimus packets onboard the Space Shuttle--then they're good enough for me. Plus shipping is free on orders of more than $20.


September 17, 2006

Brighten Your Smile In Coach, Part 2

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Photo: Dentakit.com

By Wendy Perrin

I've written before about how the ban on toothpaste in carry-ons has brought into the limelight liquidless, paste-less oral-hygiene inventions to keep your teeth clean and healthy on planes.  Another just came to my attention:  Dentakit makes a pre-pasted toothbrush with toothpaste powder embedded in the bristles.  When you wet the toothbrush with water or your saliva, the powder is activated.  A box of 30 costs $27.


September 08, 2006

Safe Water On Planes

By Wendy Perrin

A fellow editor here at Conde Nast Traveler, Brook Wilkinson, has taken six flights (two transcontinental, four international) since the ban on liquids in carry-ons began. She tells me that on some flights the flight attendants served extra water (since passengers were not allowed to bring any onboard), but they served it not from a bottle (which would indicate it was safe to drink) but from a pitcher or already poured into cups.  Brook didn't want to take a chance on it, given the concerns about total coliform and E. Coli bacteria in aircraft water. "So what on earth did you do?"  I asked, wondering how someone survives a flight from Australia with no water. Brook's solution:  Whenever she was thirsty she went back to the galley and picked up a can of soda water.

How are you coping with the water situation on planes these days?  If you have advice, consider clicking on "Comments" and posting it here.


September 02, 2006

How To Brighten Your Smile In Coach

By Wendy Perrin

Everyone's jumping on the carry-on-craziness bandwagon.  First it was hotels, who came up with emergency toiletry kits for guests whose toothpaste, etc., was confiscated at the airport.  Then it was luggage-shipping companies, whose business has boomed since baggage checking at airports grew more problematic. Now here comes the latest group to help you cope with the carry-on restrictions on liquids:  Dentists.

If you want to arrive at your destination with a healthy mouth, there are several innovations now being hawked.  I have not personally tested them, but I'm interested in feedback from anyone who has:

Dental Air Force is a powdered dental cleaner that is an alternative to toothpaste.  It's made of all-natural ingredients that neutralize acids in the mouth and eliminate odors. The powder is packaged in little cups that you can pop in your carry-on.

Suppress Cough Strips are an edible, melt-on-the-tongue film-strip medicine made by InnoZen, the people who created Chloraseptic Relief Strips.  They may help you manage sore, itchy throats and colds caught on planes--something we'll be seeing more of, thanks to passengers getting dehydrated from drinking less water onboard.

Coming soon: InnoZen's Electrolyte Strips, which replenish electrolytes, to help you stay hydrated.

What will they think of next?


September 01, 2006

Travel Insurance Update

By Wendy Perrin

There is no less sexy topic than travel insurance. But, considering how much you can lose by purchasing the wrong policy (from hundreds of thousands of dollars to your life), I want to keep you posted on the latest:

Travel Guard International just unrolled a new program called My Travel Guard that lets you choose which hospital you end up in, should you require medical evacuation during a trip. When you suffer an accident or injury midtrip, normally it's the insurance company that decides which medical facility you'll go to. It chooses the nearest facility that it considers adequate for treating your problem. With My Travel Guard, you can pay a little extra in exchange for control over which hospital you end up in.  You can go to "your hospital of choice," even your hospital back home.

Before this new program, a much more expensive policy from MedJetAssist was the only way to get coverage for medical transportation to your hospital back home, should you end up hospitalized overseas.

Exactly how do these programs differ?  I talked to both companies this morning in an attempt to figure it out. Travel Guard said that MedJetAssist doesn't cover the medical or hospital expenses you incur; it covers only your transportation (with the necessary medical staff and equipment) from hospital to hospital. MedJetAssist said that Travel Guard will move you to your "hospital of choice" only if the attending physician finds it medically necessary to move you. In other words, you don't really have control over which hospital you end up in.

Confused yet?  Join the club.  I invite both Travel Guard and MedJetAssist to clarify their programs by posting a comment here.


August 28, 2006

Getting Enough to Drink on Planes

By Wendy Perrin

Yesterday's New York Times Practical Traveler column addressed my personal biggest concern about the ban on liquids in carry-ons:  If you're not allowed to carry bottled water onto planes, what if the flight attendants don't provide enough onboard?

It's important to drink plenty of water on flights because cabin air is drier than the Sahara.  Dehydration can give you a sore throat, red itchy eyes, and that feeling that you've got a cold coming on. It can give you an actual cold too, since it makes you more prone to picking up viruses on the plane.

I've been on flights where the airline ran out of drinking water. It happened on a flight to Africa, for instance, when I was taking a malaria prophylactic that required drinking a ton of it.  I've also flown into the U.S. on planes where the tap water was not potable.  As the Times article points out, even on flights within the U.S. the tap water can be hazardous.

The article did not give precautions to take in case your plane runs out of drinking water, so here's some advice: 
* Carry throat lozenges to suck on.
* Carry a small vial (less than four ounces) of artificial tears for dry red eyes. 
* When the flight attendant comes by offering water, request a cup of ice in addition and hold onto it (tuck it into the seat pocket in front of you), so you can suck on ice chips if you feel parched. 
* Don't drink alcohol, caffeine, or tomato juice onboard (they will only dehydrate you further), and avoid salty snacks (pretzels, peanuts).
* Taking kids along?  They must suck and swallow during the ascent and descent to relieve ear pressure, so take lollipops or, for infants, pacifiers.


August 25, 2006

Travel Insurance: Best Companies

By Wendy Perrin

A reader who saw Travel Insurance: Caveat Emptor posted this question:

"Are there any particular travel insurance companies you recommend over others? What does travel insurance cost?"

If you're headed to a place where medical care is unreliable and your main goal is to get the best local care and emergency evacuation to the nearest reliable hospital, use International S.O.S.

If you want a guarantee that you will be evacuated by plane to your hospital back home in the event that you are hospitalized overseas, use MedjetAssist.

If your main goal is to avoid losing money if you must cancel a trip, ask the travel company if it sells a cancellation-penalty waiver.  If it doesn't, consider policies offered by Travel Guard International and Access America, but read the fine print before buying so that you fully comprehend what reasons for cancellation are not covered.

As for the cost, it varies enormously and depends on your age, trip cost, and trip length. Travel Guard and Access America policies tend to cost on average about $6 for every $100 worth of coverage. An International S.O.S. policy  for an individual trip can cost hundreds of dollars; if you travel overseas a lot, it's a better deal to buy a yearly membership.  An annual membership in MedjetAssist costs $205.


August 24, 2006

Travel Insurance: Caveat Emptor

By Wendy Perrin

The most accurate and useful