Top five things to look for in a travel doctor, and why you should have one

by Laurel Miller on

Despite writing about food and adventure travel for a living, I used to be somewhat blasé about the concept of travel medicine. Multiple incidents of Giardia/dysentery/traveler’s diarrhea/full-body outbreaks of mosquito and sand fly bites just taught me to carry a serious stash of antibiotics in my first-aid kit. At least I’ve always been conscientious about travel immunizations and educating myself about the primary diseases indigenous to my destination.

When you’re young and healthy, it seems silly to have a travel medicine specialist. Although this article is primarily directed at adventure travelers, odds are, the worst thing you’ll come home with is a backpack full of crappy souvenirs. But no one’s invincible, and should you require a specialist for something not responding to conventional treatment or with progressive symptoms, time is of the essence. Many “exotic” diseases progress rapidly, and can cause irreversible damage or death if not properly diagnosed and treated. Even with incurable diseases, the earlier you catch them, the easier it will be to manage symptoms and prevent them for worsening.

No, I’m not a doctor, although I come from a medical family. But I got seriously schooled after visiting Ecuador two years ago. After a fantastic month of adventure activities in remote parts of the Andes and Amazon Basin, I fell seriously ill the last day my trip. Two years of at-times crippling symptoms, 10 CT scans, five medical facilities, dozens of specialists, four surgical procedures, two surgeries, one cancer diagnosis, and near-medical bankruptcy later, I’ve become an expert at being my own advocate.

My infectious disease doctor believes that I contracted a form of bartonellosis called Oroya Fever after being bitten by sand flies. The good news: My health is currently stable, but we don’t know if the disease is in remission or not. But I have permanent cognitive damage, scarring or tumors on most of my internal organs, and intermittent arthritis. But believe me, I feel lucky.

I don’t want anyone to go through the health and medical nightmare I’ve endured, so I’ve compiled a list of essentials in a travel medicine doctor. Ergo, number one with a bullet:

1. Is he/she a travel or tropical medicine specialist?
Pre-bartonella, I used an internist as my GP/prescriber of antibiotics. If you can find an internist, gastroenterologist, or infectious disease doctor who is also a specialist in travel medicine, that’s a huge plus. 2. Does he/she have personal experience traveling or practicing in developing nations?
There are a lot of practicioners who aren’t globally aware, so to speak. You can’t diagnose what you don’t understand, know about, or have first-hand experience with. Period.

3. Is he/she a good listener and empathetic?
It’s difficult to find these qualities in any doctor, especially in today’s medical climate. But it’s imperative to find someone you can communicate with, and who understands what you’re going through if you’re suffering from a mystery travel ailment. Don’t settle, even if you need to travel to another state or country to seek treatment (what stumps doctors here is often commonplace in the country of origin).

4. Does he/she have a good network of colleagues in multiple specialties (including travel/tropical medicine) to consult for additional opinions?
My current mantra is to seek a third opinion, from at least two different medical facilities. That, and to have a travel physician who actively consults colleagues and does additional research to assist with a diagnosis and/or treatment. My infectious disease doctor talked to specialists at a medical school in Peru on my behalf, and even tracked down a relevant medical paper from 1897 as he honed in on a diagnosis. And while I wouldn’t consider it a deal-breaker if the answer is no, see if your doctor is an active and participating member of the International Society of Travel Medicine.

5. Does he/she return your calls/provide you with email, pager, or office number so you can get in touch directly?
I’ve learned that a good doctor who is invested in your recovery will provide an open line of contact to address questions, concerns, and exchange pertinent information. Tip: Please don’t abuse this privilege. Physicians work insanely long hours, under constant stress. And don’t expect to hear back immediately if you leave a non-urgent message; be realistic. A couple of days, fine (many specialists aren’t in clinic every day). A week? Make a polite follow-up.

Whether or not you end up getting a travel doctor, the International Association for Medical Assistance to Travelers (IAMAT) provides loads of useful information, including a directory of global travel medicine clinics with English-speaking staff, and a destination-specific travel health planner. And depending upon what you plan to do on your trip, where you’re traveling, and your financial situation, you may want to invest in travel insurance.

[Photo credits: blood transfusion, Flickr user CarynNL;patient, Flickr user kk+; legs, Laurel Miller]

Gadling gear review: SteriPEN Sidewinder

by Kraig Becker on

SteriPEN is a company that has built its reputation on providing products that ensure hikers, backpackers, and travelers safe drinking water no matter where they go. Their products, including the SteriPEN Traveler, which we reviewed here, use ultraviolet (UV) light to kill off 99.9% of all bacteria, viruses, protozoa, and other harmful elements that can find their way into our water. But most of their purifiers are powered by batteries, which can be difficult to come by when traveling through remote areas, and have a penchant for going dead when you need them the most. The company has found a way around that however, in the form of the Sidewinder, a purification system that is powered by a hand crank, and never requires batteries of any kind.

The first thing you’ll notice when you remove the Sidewinder from its box is that it is large, especially when compared to SteriPEN’s other products. That is due in part to the fact that it comes with a 32 oz (1 liter) BPA-free bottle, but the hand crank system is not especially small either. Prior to beginning the purification process, the bottle is filled with water. and then clicked into position on the Sidewinder itself, with the UV light completely immersed in the water. The entire unit is then flipped over, and you’re all set to begin making clean drinking water.

From there, you simply begin turning the crank to generate the power necessary to illuminate the ultraviolet light, and in theory, 90 seconds later you have water that can be safely consumed. I say in theory because it takes a bit of practice before you get the hang of the process, as you must turn the crank at the proper speed in order to get the UV lights working properly. Fortunately, SteriPEN included a pair of red LED’s on the Sidewinder which illuminate when you’re turning the crank too slowly. When the lights are off, you’re doing just fine, and you’ll know you’re finished when the UV lights turn green as well. It is a simple process, but one that requires some practice before putting the device to use in the field.

Once you get the hang of it, the Sidewinder has the potential to provide plenty of drinking water for an indefinite backpacking trip through just about any part of the world. But just because the water is free from harmful bacteria doesn’t mean that it necessarily tastes any better. SteriPEN has helped to address that issue as well by including a pre-filter to help remove particulates from the water prior to purification. The filter fits on to the top of the bottle and is a much appreciated addition to the package and further indicates that SteriPEN has a good understanding of their customers needs.

While the Sidewinder is a well designed and built products, it does come with a few caveats for anyone considering it for their next adventure. For starters, as I mentioned above, it is quite large, which makes it a less than ideal option for those looking to travel light. I personally found it a bit too bulky for my pack, much preferring the smaller Journey LCD, which I carried with me through Nepal last year. It also requires a good deal of physical work to actually purify the water, asking its user to turn the crank for 90 seconds, at a rather brisk pace, for each liter of water cleaned. Considering you’ll need several liters of water per day, possibly more depending on your destination, you may end up getting quite a workout while you’re on the go.

So just how good are the SteriPEN purification systems? In my personal use of their devices, I have yet to contract any kind of water borne illness or suffer any ill effects, even while traveling through locations where several of my companions fell victim to a variety of maladies. The UV light seems to work as advertised, although it is impossible to prove a negative, and perhaps I’ve simply been fortunate. I highly doubt that however, and a SteriPEN purifier of some type will be mandatory gear for all future travels to remote areas across the globe.

Which SteriPEN I take with me is a bit open for discussion however. While I appreciate the eco-friendly nature of the battery-free Sidewinder, its larger size poses a bit of a problem when lugging it around on longer treks. But if you’re going to be camped in one place for an extended period of time, it is a fantastic option for sure. For those requiring a more compact and lighter weight purification system, I’d give the nod to the aforementioned Journey LCD or Traveler however. Either way, you can bet you’ll have safe drinking water no matter which device you use.

The Sidewinder comes with a $99.95 MSRP, which is more expensive than iodine tablets or other similar purification options. But on the other hand, SteriPEN’s approach is also much more reliable and safe as well. Having used both options, I’ll stick with the UV solution for my future water purification needs.

Aspen to host ultimate adventure weekend in June

by Kraig Becker on

This June, Aspen, Colorado will be ground zero for the outdoor adventure crowd when the city plays host to the second annual Outside in Aspen weekend. The event, which is sponsored by Outside magazine, features top adventure athletes, numerous outdoor activities, and plenty of rockin’ parties as well.

The event kicks off with a welcome party at the Sky Hotel on Friday, June 10, but the real festivities get going the following day. At 8 AM on both Saturday and Sunday, a host of adventure activities get underway, giving visitors the chance to mountain bike, paddle, cycle, hike, and climb with top outdoor athletes, including professional cyclist Tyler Hamilton and pro kayaker Brad Ludden. There will also be an adventure filmmaking and photography workshop, and the annual Aspen Triathlon will also take place on Saturday as well.

When not participating in these great activities, visitors can hang out at the Adventure Base Camp, which will offer a number of outdoor related exhibits, gear giveaways, and refreshments as well. The Base Camp will also be the site of the Adventure Symposium on Sunday, where a panel of adventurers and explorers will discuss the risks and rewards of extreme adventure.

All in all, it should be another fantastic weekend for outdoor enthusiasts, and two-night lodging packages are available for attendees at very reasonable prices. Visitors to the event can stay for as little as $99 per person in double occupancy rooms at a number of hotels in the city. Visit the Outside in Aspen website for all the details. Adventure activities are priced separately and can also be booked via the website.

Outside in Aspen looks like it will be a great way to kick off the summer, with a fantastic weekend of adventure in the middle of June. From what I understand, last year’s event was a lot of fun, and it looks like the second iteration will be even better. Besides, do you really need much of an excuse to go play in the mountains of Colorado?

[Photo credit: Outside in Aspen]


See the Serengeti on foot with Mountain Madness

by Kraig Becker on

Adventure travel company Mountain Madness is well known for their incredible range of mountaineering and trekking options. Their well trained guides have the skill and knowledge to take clients to some of the most amazing destinations on the planet, including the tops of each of the Seven Summits, the highest peaks on each of the seven continents. But if climbing Everest or Denali is a bit outside your comfort zone, perhaps their newest trek will satisfy your need for adventure.

Mountain Madness has recently begun offering a trek across the Serengeti that is sure to give travelers a unique perspective on that magical place. Located in Tanzania, the Serengeti Plain has one of the greatest concentrations of wildlife found anywhere on the planet, and while most visitors see it from the inside of a vehicle, on this trip you’ll get the opportunity to witness it on foot.

Over the course of the eight day walking tour, highly trained safari guides will lead travelers through the pristine African wilderness where they’ll witness vast herds of wildebeest, zebras, and antelope. They’ll also track buffalo, walk in the footsteps of giraffes, and follow massive elephants across the open grasslands, where lions and leopards rule the day.

Until recently, trekking the Serengeti has not been allowed at all, which means that the Mountain Madness groups will be amongst the first to visit the place on foot in more than 50 years. And at the end of the day the travelers will return to camp, where they’ll spend night on the African plains, listening to the sounds of wildlife in all directions.

The Serengeti Walking Safari is a fantastic adventure in and of itself, but when paired with a Kilimanjaro Climb and a visit to Zanzibar, you get a complete African experience unlike any other. Mountain Madness’ can not only deliver that full experience, they’ll also give you the adventure of a lifetime.


5 great ways to explore national parks under your own power

by Kraig Becker on

There is no doubt that America’s national parks are popular tourist destinations. The past few years have seen a dramatic increase in the number of visitors to the parks, and many of them have been setting attendance records as a result.

With the summer fast approaching, many of us are no doubt making plans for our vacations, with many electing to visit a national park once again this year. The vast majority of those visitors will never wander far from their car, but to get a true sense of what the parks have to offer, you really should ditch the vehicle and strike out under your own power. In doing so, you’ll get a much better sense of the landscapes around you, and have a better chance of connecting with nature too. Here are five ways that you can do just that.

Hike the Great Smoky Mountains
With more than 800 miles of trail in Great Smoky Mountain National Park, there is a route for just about everyone. From short excursions and day hikes, to multi-day epics for the backpacker crowd, this is a park that is sure to please any outdoor enthusiast. With lush green forests, crystal clear streams, and breathtaking mountain tops, the Smoky Mountains have it all. But you can’t experience the best they have to offer from you car, so put on your hiking shoes and hit the trail. I recommend the 8-mile round-trip hike to Charlies Bunion, a popular mountain walk that is more than worth the effort.

Raft The Grand Canyon
The Grand Canyon is truly one of the great natural wonders of the world. It is so vast in size and scope that you simply have to see it to truly understand just how large it really is. That size is magnified even further while you’re rafting the mighty Colorado River, with the mile-high walls of the Canyon looming far overhead. Visitors have a number of options when it comes to paddling the river, ranging from short half and full day excursions to multi-day options lasting as much as 25 days in length. The whitewater in the Grand Canyon will have your heart pounding in your chest, and once you’ve calmed down from the adrenaline rush, you can enjoy a gentle drift down the Colorado, with those amazing landscapes completely surrounding you.
Go Climbing In Yosemite
In addition to being one of the most beautiful places you will ever see, Yosemite also happens to be one of the great rock climbing destinations on the planet. Each year, climbers from all over the world descend on the park to test their skills on its legendary rock walls, some of which are so famous that they are well known by their unique names. There are routes available for all skill levels, including beginners, but obviously this is not an activity for everyone. For those not wanting to climb rock walls, I’d recommend the Half-Dome Summit Trail, which offers access to the top of one of Yosemite’s most famous landmarks along a route that includes cables to help you make your way. (Permit required!)

Kayak The North Woods in Voyageurs
Voyageurs National Park, located in the extreme northern border of Minnesota and Canada, is one of the best hidden gems in the entire National Park System. It is remote, pristine, and quiet, with some of the thickest forests you’ll find in the U.S. The best way to explore this park, no, the only way to explore this park, is from the seat of a kayak. Visitors can paddle through a series of interconnected waterways that wander past wilderness islands and shorelines with plenty of wildlife to view along the way. If you have more than a day, you may want to camp at one of the campsites that are only accessible by boat.

Cycle Through Acadia
With its spectacular mix of ocean views and mountain vistas, Acadia National Park, located in Maine, makes for a fantastic summertime destination. But to really see the park, you should leave your vehicle behind and hop on your bicycle instead. The 27-mile long Park Loop Road is an excellent ride for those who want to explore the park, but that route can get crowded with cars, especially in the summer. For more solitude, hit the Heart of Acadia loop trail, which is a 22-mile long road that is completely free of motor vehicles. The path is best suited for mountain bikes, but offers some of the best views in the park, including scenic overlooks that will take your breath away. You won’t be disappointed!

While these are perfect examples of national park adventures sans cars, nearly every park in the U.S. system has similar options. Need further incentive to explore the park under your own power this year? Consider this, the price of gas is expected to hit record levels this summer, which means you can save a little cash by leaving the car behind and exploring on foot, bike, or other means.

[Photos courtesy of the National Park Service]