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Travel Health

Avoiding Altitude Woes: What To Bring On Your Next Ski Trip

by Laurel Miller on Nov 30, 2012

There are few things that bum out a ski trip more than altitude issues. Even if your symptoms are just in the form of Acute Mountain Sickness (AMS) – headache, fatigue, dizziness, insomnia or nausea – it’s often enough to make you wish you’d stayed at home.

I live in Colorado, and have resided in a couple of high-altitude ski towns in the past. Since our ski season just kicked off, for the purposes of this post I’m only focusing on AMS, rather than more serious forms of altitude sickness.

Predisposition to AMS is subjective. Age, physiology, genetics, and physical fitness may or may not play a role. If, however, you’ve got congestive heart failure, a nice alpine getaway may not be the best thing. Conversely, if you’re not in the habit of drinking lots of water at elevation, you’re going to feel like hell, regardless of how fit you are.

The higher the elevation, the harder your body has to work, because air pressure is lower (i.e. there’s less oxygen, which is also why it’s dehydrating). The body responds by producing more red blood cells to increase circulation. The short answer is, high elevations stress the body.

To ensure your next visit to the mountains is free of altitude-related woes, follow these tips:

Hydrate – with water, not soda or other sugary beverages – then hydrate some more. Amounts vary depending upon your gender, activity level and weight; 2.5 liters a day is considered a rough daily estimate necessary for good health at sea level. If you’re seriously shredding the pow, then a sports drink with electrolytes at day’s end is also a good idea.
If you have health concerns, acclimate slowly, if possible. Try to spend a night at a lower elevation before heading to your destination. Example: Fly into Denver (5,280 feet), before heading to Aspen (7,890 feet).
Go easy the first 48 hours, as you acclimatize.
Since you’re burning and expending more calories, be sure to eat small, regular meals or snacks when you’re out there tearing it up on the slopes.

Reduce (I know better than to say “avoid”) consumption of alcohol. At altitude, one drink has double the impact. This makes for a cheap date, but it can do a number on your head and body. Pace yourself, and drink a glass of water in between each alcoholic beverage. You’re welcome.
Take Diamox, ibuprofen, or aspirin, which will eliminate many of your symptoms such as headache, sluggishness, or dizziness. When I attended culinary school in Vail, one of our classrooms was located at 11,000 feet. Our first week of school, most of us were nodding off due to the altitude, and aspirin was far more effective than caffeine.
If you’re having trouble sleeping, you can try an OTC, or avail yourself of the local hot tub or a warm bath before bed (remember to hydrate afterward!). If you already have insomnia issues, be sure to bring your prescription or regular OTC with you.
Slather on the sunscreen. Not only is the sun far stronger at elevation, but its reflection off the snow can reduce your skin and eyes to cinders. Know what else a potent sunburn does? Speeds dehydration. As well as photoaging and skin cancer, but that’s a topic for another article.
Don’t get cocky. I live at 5360 feet, and sometimes, even I forget to follow my own advice – a certain crushing hangover in Vail two weeks ago comes to mind. Just because you live at altitude doesn’t mean you’re used to higher altitude. You’ll be better conditioned, yes. But you still need to hydrate regularly, and for the love of god, go easy on the bourbon rocks.

For more detailed information on altitude sickness, including extreme elevations, click here.

Wishing you a safe, happy snow season!

[Photo credits: skier, Flickr user laszlo-photo; tea, Flickr user Kitty Terwolbeck]

New Cure For Travelers With A Bad Attitude

by Chris Owen on Nov 28, 2012

Some travelers are just not happy no matter what. They can be flying to a fabulous destination they may have dreamed of for years but restricted legroom sours their mood. On a road trip planned for months, the traffic in a big city, while expected, is annoying. Now, a new study says that people can literally throw away negative thoughts.

Apparently, getting rid of negative thoughts is as easy as writing them down on a piece of paper then throwing that paper away. In kind, those who write thoughts down and save that piece of paper are more likely to use their thoughts when making judgments, a recent study shows.

“However you tag your thoughts – as trash or as worthy of protection – seems to make a difference in how you use those thoughts,” says Richard Petty, co-author of the study and professor of psychology at Ohio State University in a Laboratory Equipment report.The trick to making it work either way, indicates the study, is the physical act of discarding or saving those thoughts, good or bad.

“The more convinced the person is that the thoughts are really gone, the better,” Petty says. “Just imagining that you throw them away doesn’t seem to work.”

So will writing “No legroom” on a piece of paper then throwing it away make flying coach more enjoyable? Maybe so. Another way to get rid of a bad attitude when traveling can be to laugh, on purpose, out loud. That and creating something seem to have a similar positive effect as we see in this video:

[Photo Credit- Flickr user claytonjayscott.com]

Safety And Security When Traveling Takes More Than Common Sense Precautions

by Chris Owen on Nov 25, 2012

Safety and security tips for travelers often include common sense advice like not carrying a lot of cash, protecting valuable documents and not wearing expensive jewelry in public. But while taking precautions is good, knowing what scams or traps are set and waiting for travelers in countries around the world is better.

“While the language barrier and the cultural sites are exciting, they also open up travelers to scam artists and petty thieves,” says an article in the Pittsburgh Post-Gazette, which brings up some good points.

Record serial numbers on electronics, keep valuables in your hotel safe and watch for “long hauling” where taxi drivers take a longer route to bump up the fare. These measures can be taken to ensure a visit to an unfamiliar turf goes well.

record the serial numbers of any vital electronics that could be stolen, as some cities require a serial number to file a police report.

We saw this first hand in Rouen, France, not long ago, visiting the Notre-Dame Cathedral off a sailing of Azamara Club Cruises Azamara Journey. Our local guide was quick to point out that we should ignore anyone standing by the front door collection admission. Entry is free but unsuspecting tourists commonly pay scam artists a fee, believing they cannot enter without doing so.But Americans do not need to travel far to find situations that threaten safety and security.

The U.S. Department of State’s Office of American Citizens Services and Crisis Management offers tips for international travel as close as the Bahamas, a destination frequented by U.S. travelers on a weekend getaway. Also a popular cruise port, on the topic of safety and security, the Department of State warns travelers about commonly used services.

“The water sports and scooter rental industries in The Bahamas are not carefully regulated,” says the Department of State. “Every year people are killed or injured due to improper, careless, or reckless operation of scooters, jet-skis, and personal watercraft or scuba/snorkeling equipment.”

Digging deeper, the Department of State offers information about common crime scams and reports of assaults, including sexual assaults, in diverse areas such as in casinos, outside hotels, or on cruise ships.

“Three separate groups of tourists were held at gunpoint and robbed at popular tourist sites in and near Nassau; each of these incidents occurred during daylight hours and involved groups of more than eight persons,” says the Department of State, adding “several other groups of tourists allegedly were victims of armed robbery at more remote locations.”

Here at home, traveling no farther than the local mall for holiday shopping can put us in situations where pick pockets, scam artists and others are out to take advantage of distracted shoppers.

Regardless of where we are, a nice day of sightseeing or shopping can turn very bad, very fast as we see in this video:

[Photo credit: Chris Owen]

5 Tips For Holiday Travel With A Baby

by Meg Nesterov on Nov 15, 2012

With Thanksgiving days away, ’tis the season for screaming infants and squirming toddlers packed onto planes, right? Flying with a baby doesn’t have to be a nightmare, even during the very busy holiday travel season. Whether you are flying home to introduce your baby to the grandparents, or taking a much-needed island vacation with your newly-expanded family, here are some tips to help you (and your seatmates) cope with flying with a baby:

Don’t scrimp on the extras and factor them into your travel budget. Pre-baby, you might have been able to deal with a red-eye flight with multiple connections on a bare-bones budget airline in order to save on ticket airfare. When you are flying with a small child on your lap, there are certain upgrades you may wish to make that will pay off in spades. Check your luggage (though pack light anyway), so you have as little to carry on the plane as possible (and while we’re on the subject, always have a carrier/wrap/sling as you can’t always take your stroller to the gate). Add on extra legroom or the airline’s “economy plus” so you have a little more room to maneuver. These days, only some long-haul or international flights have baby bassinets, and even then, they will only fit up until one year or so. Do your homework: depending on the airline and route, it might make sense to purchase a seat for your infant (often with additional baggage allowance), especially if they are happy to sit in a car seat for the flight. Trust me, these things will be worth the extra $50 or so, but factor it into your ticket cost and budget accordingly.Be resourceful and creative about in-flight entertainment. Many new parents feel they have to pack a separate suitcase full of toys to entertain a child on a plane, but you want to keep your carry-on items to a minimum. You’d also be surprised with what you already have in your purse or diaper bag can be endlessly interesting to a baby: your keys, your bag of small toiletries, even your wallet. At one year, my daughter became fascinated with pulling things out of my wallet, so I now carry a cheap card wallet for her to play with containing all of our old hotel key cards. She’s also spent hours packing and unpacking my make-up bag, and since we’re in a small space, I can make sure she’s not eating my lipstick or stashing my Amex card between the seats. Even the seat has fun buttons to press (as long as they aren’t controlling your neighbor’s seat); magazines to leaf through; and plastic straws, ice and cups from drink service. Carry some actual toys too, but keep them pocket-sized: a small pouch full of IKEA finger puppets is one of the best investments I’ve ever made and has often appeased other kids on the plane too. Anything that won’t make a mess or an annoyance to other passengers is fair game to me. There’s always the failsafe cellphone, or tablet computer if you have one (check out Best Apps for Kids for recommendations); once it’s safe to use approved electronics, of course.

Don’t be afraid of the back of the plane. I used to dread the back of the plane, especially as I was loathe to check luggage and therefore wanted early access to the precious amount of overhead bin space. Now since I’m usually checking anyway, I don’t mind being in the back; it’s close to the bathroom and the flight attendants, often less crowded than the premium seats in the front, and when we land, I have more time to collect all the things the baby has pulled out of my purse. Most airlines have discontinued early boarding for families, but even if it’s offered, you may want more time in the relative comfort and space of the gate area before boarding. The only drawback to the back of the plane is other children, especially if yours tends to be influenced by the cries and sounds of other babies. In case of another child’s meltdown, it might be the time to distract yours with a video, and hand your finger puppets over to the other parents.

Dress naturally and for comfort. A few years ago, I read that because of breathability, it’s more comfortable to fly in a wool dress suit than a polyester track suit. This especially makes sense in winter when you are going from cold runways to overheated airports and erratic cabin temperatures, often rushing to make a plane and laden with baggage. Babies will sleep more comfortably in a cotton or other natural fabric one-piece pajama and it’s also easy to change diapers, and light to pack a spare in your diaper bag. Dressing baby in pajamas can also help feel it’s time for a sleep rather than running around the cabin. I’ve seen many small children traveling in fleece outfits (fleece is essentially code for polyester), and those same children are often sweaty and restless once the airplane’s heater kicks on. For me, I tend to feel much warmer trekking through an airport with a 20-pound person strapped to me, so I try to ditch my coat as soon as possible. My favorite is a lightweight down jacket from Uniqlo that packs down into a tiny bag that I can stash under the stroller or in a suitcase until I’ve reached my final destination. Finally, while baby might look cute and comfy in PJs, you are better off in two pieces with a spare shirt, in case you need to change mid-flight after an accident.

Go with baby’s schedule. No one really has the definitive answer on how to fight jetlag but when it comes to traveling with a baby, you may have to just give in to their schedule demands rather than force them to conform. In the early months, they’ll adjust to time changes easily since they sleep constantly, but older babies might just force you to stay on your usual time zone and adjust slowly. Look for flights that suit your schedule best: my baby does best on early morning or overnight flights when she tends to sleep, even if it means less rest for me. You might be off your game for the first few days when you arrive, but isn’t sleeping late and taking mid-day naps what vacations and time home with family are for? Letting the baby sleep when she wants can also help her stay healthy: you are more prone to illness if your body is exhausted. I also let her eat on demand and find breastfeeding ideal for travel, especially to keep her ears from getting clogged on take off and landing, and provide immunities to ward off sickness. Older or non-breastfed babies can have a pacifier, bottle, or sippy cup for takeoff. I’m personally not a big fan of anti-bacterials, but wash hands and anything baby touches frequently with soap and water.

We’ve survived over three dozen flights and twelve countries with no tantrums or crying, read more tips and advice in the “Knocked Up Abroad” series.

Marijuana Tourism Not A Big Surprise In Colorado, Washington

by Chris Owen on Nov 10, 2012

Marijuana Tourism got two thumbs up in the elections earlier this month as the states of Washington and Colorado made selling, buying and using cannabis legal. Never mind the federal law prohibits any of that; the voters have spoken and opened the door for what could be promoted as Weed Weekends, Bong Backpacking and a variety of marijuana-related tourism options.

State government leaders were quick to put the brakes on a massive migration to either state, saying a lot of details still have to be worked out. Colorado’s governor opposed the legalization vote but indicated after its passage that he didn’t see marijuana tourism taking over the state and its iconic tourist attractions.

”I don’t think that’s going to happen,” Democratic Gov. John Hickenlooper said in a Boston.com report. ”They’re going to flock here to buy marijuana as if they’re going to take it back? On an airplane? That seems unlikely to me.”

Still, while public use of marijuana is not part of the deal, possession and personal use very much is. That applies not to just state residents, but to visitors also.

Anyone 21 or older can legally posses up to an ounce of recreational marijuana in Colorado and grow up to six plants. That’s the law. On a legal focus, they can’t use it in public, the rules for medical marijuana (already a $1.7 billion industry), are unchanged and the “possession no problem” element clock starts ticking now. Previous marijuana crimes stick.Disregarding the federal law for a moment, these states could indeed legislate the implementation of a state-licensed marijuana industry. Much like states control and tax alcoholic beverages, mostly free from federal intervention, millions in revenue could be generated to support otherwise underfunded programs like education.

It’s not like Colorado and Washington are new to the world of marijuana either and the recent vote to legalize it could be viewed as a natural progression.

Colorado and Washington are part of 18 states and Washington, D.C., that have legalized medical marijuana for people with medical conditions like cancer, nausea, multiple sclerosis, migraine headaches and chronic pain.

In Colorado, many ski slopes already have old mining cabins that have been turned into ”smoke shacks,” places to smoke marijuana out of the wind and cold. Breckenridge, Colorado, dropped criminal penalties for marijuana use two years ago.

In Washington state, for over 20 years, travelers have come from all over the world for Seattle’s HempFest (pictured), an annual gathering that advocates the decriminalization of marijuana. This year, 250,000 attended as police looked on.

Will the entire states of Colorado and Washington become much like one huge Amsterdam, where without trying all that hard visitors can freely enjoy marijuana? Probably not.

We’re not apt to see a “World’s Largest Pot Plant” attraction on highway road signs in Colorado any time soon and Seattle probably won’t have Space Needle-shaped bongs in the near future.

In Colorado, it will be a year or more until the state has a system in place to allow retail sales, but that probably won’t stop celebrities who support the idea as we see in this video.

[Photo Credit- Flickr user MaplessInSeattle]