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]

Middle West Spirits is making great vodka in Columbus

by Elizabeth Seward on

Middle West Spirits in Columbus, Ohio will be celebrating their 1st birthday this summer and as a nod to the delicious liquor I tried during my most recent trip to Columbus, I wanted to say… Happy Birthday, guys.

Ryan Lang and Brady Konya were new to Columbus from the West Coast when they started Middle West Spirits. And although they were newbies, they got the attention of the vodka-drinking Buckeyes without any trouble. OYO Vodka (pronounced Oh-Why-Oh) is actually some of the best vodka I’ve ever had. Made from wheat grown in Northern Ohio and milled locally, the care infused into this vodka surpasses the locality of the ingredients.

Distilled over the course of seven days, Lang and Konya make their vodka in defiance of traditional vodka guidelines.
Generally speaking, vodka is thought to be a colorless, tasteless, and odorless liquor. But Middle West Spirits doesn’t like their vodka that way. It might be difficult to pinpoint, but OYO Vodka has a distinct taste–one that stands out when taste-tested against well-known brands, like Grey Goose.

Drop by Middle West Spirits the next time you’re in Downtown Columbus, Ohio. They have open house every Wednesday from 5-7pm or you can arrange a tour by contacting tours@middlewestspirits.com.

New Hampshire hot dog review: Wildcat Inn

by Tom Johansmeyer on


Okay, if you follow my work, you know by now that I need to try a hot dog everywhere I go. Sometimes, it’s far more fun to eschew upscale and go right for the lowest common denominator. On my trip to the White Mountains last weekend, I wasn’t expecting to indulge. After all, the region, in New Hampshire, is only a few hours from where I grew up … how could I find something worth actually writing about?

Needless to say, my perspective changed quickly.

I walked down to the Wildcat Inn and Tavern from my hotel, the Christmas Farm Inn, in Jackson, NH. It was one of the few establishments within walking distance, and after a full day of driving (well, as the passenger) from the New York area, I couldn’t fathom getting back into a car. While the main menu looked good, it was the bar menu that caught my attention … I was in the mood for something simple and filling. In my hunger and haste, I almost missed a menu item that was made for me: the “Ripper”.

%Gallery-123848%At $6.95 ($8.95 for two), it might seem a bit pricey for a hot dog, but keep in mind that it is served with fries. The dog is modeled on one from New Jersey, which created a connection between origin and destination for this trip. It’s described as:

Our tribute to the Rutt’s Hut “Ripper” in Clifton, NJ – the greatest hotdog of all time. Deep fried until it splits wide open, served crispy in a fresh bun with french fries and a side of caramelized onions

So, I couldn’t resist: I ordered the “Ripper,” sipping a glass of the house Cabernet Sauvignon while I waited for the delicacy (of sorts) to arrive. What I saw impressed me immediately. The Wildcat’s Ripper was not small. It stretched passed the bun on both ends but was still thick. It was cooked well, with a blackened exterior to prove that whatever it had been was now ready for consumption.

The first bite was incredible … and not because I had seven hours of road trip in my not-too-distant past. It snapped crisply. The blackened exterior enhanced the flavor within, almost sealing it for an explosive initial chomp. Since it was so large, the dog could be consumed in large bites without leaving you feeling as though the experience was over before it started. Well-prepared and tasty, it was an unexpected delight while on the road.

Sure, the other menu items on the Wildcat Inn’s menu are tasty and enjoyable. It’s certainly worth trying the pizza while you kick back and listen to the local band, the White Mountain Boys. But, you should definitely make room for the hot dog – it’s one you won’t want to miss.

[photos by Laurie DePrete]

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.

Top 8 attractions in Vail, Colorado for 2011/2012

by Stephen Greenwood on

Measured at approximately 5,289 acres, the Vail Ski Resort is the largest single mountain ski resort in the United States and the second largest resort in all of North America (next to Whistler Blackcomb). With a rich history and lively village surrounding the base of the resort, it’s a destination that has plenty to offer both avid skiers & relaxation seekers.

As the 2010/2011 ski season officially comes to a close, there are still plenty of reasons to visit the quaint mountain town for its variety of summer activities. If you’ve been eyeing the wide open expanses of Colorado’s Rockies, then don’t miss my top 8 picks of the best that Vail has to offer:

1. Betty Ford Alpine Gardens
Vail received its first major recognition as an international ski resort in the mid 1970’s when President Gerald Ford carried out a large part of the nation’s business from his family’s home in the town. The Fords left a visible legacy throughout the valley and in 1988, the Vail Alpine Garden Foundation honored former First Lady Betty Ford by naming the world’s highest botanical garden (8,200 ft.) in her honor.

The gardens feature about 2,000 varieties of plants including 500 varieties of wildflowers and high elevation flora. Located just a few miles west of the main town, the gardens are open to the public (free) from Memorial Day to Labor Day, and are certainly worth a visit for those looking for a peaceful afternoon outdoors.


2. Colorado Ski & Snowboard Museum
Just outside the center of Vail’s main village, you’ll find the Colorado Ski Museum; a fascinating collection of memorabilia that illustrates the timeline of Vail’s establishment as well as the evolution of snow sports in the state of Colorado. The museum gives especially valuable insight into the Army’s Tenth Mountain Division, which trained during the 1940’s in the mountains southeast of Vail and would later influence Vail’s development as a ski resort.

If the progression of Olympic ski outfits interests you, or you’re curious to find out why Colorado rejected to host the 1976 Winter Olympics, then pay a visit to the Colorado Ski & Snowboard museum. Best of all, it’s completely free!

3. Cinébistro / bōl
Dubbed as “The new center of Vail”, the Solaris complex is a brand new residence & entertainment development that took the place of the long-standing Crossroads Shopping Center. Two of the entertainment highlights at Solaris are Cinébistro, a multi-screen premium movie theater that serves food & beverages to a 21-and-up audience and the neighboring bōl, an ultra-chic futuristic bowling alley that features 10 lanes under a row of giant LED screens and Euro-club mood lighting. Both offer a great selection of food, drinks and comfortable spots to lounge with all those hip new friends you’ve made.

Both venues are pricey, but if you’re looking to splurge on a night of fun while in Vail, then these are the places to do it.

4. Block 16 @ The Sebastian
If you’ve been to Vail in the past few years, then you’ll notice that the former Vail Plaza Hotel & Club has a new name – the Sebastian Hotel. After being taken over by a family-owned investment group out of Mexico City, the Vail Plaza was given a minor makeover and name change. With this makeover came the addition of a few new restaurants; including a refined “visionary” new restaurant called Block 16.

Between an extensive wine selection, an exciting menu full of variety and an excellent staff, there’s plenty to love about Block 16. The prices are slightly higher than the majority of the restaurants in Vail, but one bite of the wagyu beef or duck confit with orange will make all of those thoughts disappear.

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5. Club 8150 / Samana Lounge
If you still have energy after the day’s activities and are searching for a good nightlife scene, check out the subterranean Samana Lounge or the impressive Club 8150. Both have a reputation for offering an impressive lineup of DJ’s and touring artists during the winter season, and you can be sure to find a lively, young crowd that loves to dance on most weekend nights.

6. Game Creek Club
For those of you getting married, looking to host a memorable company dinner, or really want to go all-out for a private dining experience, look no further than the Game Creek Club. Accessible only by a Gondola ride that links up with a private snowcat, the Game Creek Club is an expansive lodge tucked away on the backside of Vail’s Eagle’s Nest Ridge. In addition to a beautiful sprawling balcony perfectly situated for watching the sun set over a glass of Pinot, the Game Creek Club offers lavish 4 course meals and a comfortable setting that’s nice, but not overly stuffy. Prices are fitting for such an exclusive outing but it’s by far one of the best and most unique experience Vail has to offer, and won’t be forgotten in a hurry. Reservations can be made over the phone at (970) 754-4275.

7. Ice Skating @ Vail Square / Lionshead Village
Lining the bottom of the mountain just West of the main village lies the posh & picturesque Lionshead Village. At Lionshead, you’ll find a selection of art galleries, restaurants and coffee bars located around a beautiful skating rink. During the winter months, this is a great place to bring the family and cozy up next to a fire pit while the kids have a go at testing their skating abilities.

8. Blue Sky Chairlift
During the ski season, many locals will tell you that the best section of Vail’s 5,000+ acres is the secluded and less crowded backcountry of Blue Sky Basin. At the 11,480 foot summit, you’ll find Belle’s Camp; a warming hut and picnic area with a view of the surrounding Rockies that cannot be beat. Blue Sky has all types of terrain to choose from and just getting there is an adventure in itself. The only downside is that the lifts on this side of the mountain close earlier, so plan accordingly.

Of course, this list is just the tip of the icicle when it comes to Vail’s attractions. There are enough hot tubs, art galleries, and quaint restaurants to keep most visitors busy for a jam-packed 4-5 days all year round.

If you’re a fan of Vail and have some additional inside information that is missing from this list, give us the scoop & leave a comment below!

Stephen traveled to the Vail Film Festival on a trip sponsored by Olympus. No editorial content was guaranteed and he was free to openly experiment with Olympus’s cameras while snowboarding, bathing in picturesque hot tubs, and rubbing elbows with A-list celebrities.