ZocDoc Helps You Find Doctors, Make Appointments While Traveling

by Kraig Becker on

There is nothing more frustrating than having to seek medical assistance while traveling. It is bad enough to have something unexpected come up while you’re at home, but at least your personal doctor is generally only a phone call away. But while you’re on the road it can be difficult to find a specialist and booking an appointment can be a real challenge.

That’s where ZocDoc can come in very handy. The service, which is available on both the web and as an Android and iOS app, allows users to quickly and easily find doctors, dentists and other specialists based on location. The website version of ZocDoc searches based on zip code while the mobile apps use the smartphone’s built in GPS chip to locate options that are near by. Searches can be narrowed by looking for specific specialties (allergist, cardiologist, orthodontist, etc.) and you can even add a search criteria based on the insurance provider you’ll be using.

When the search is complete, ZocDoc presents all the available options in a clean and easy to read format that includes addresses, reviews and a listing of the next available appointment. Tapping or clicking on an open date and time allows the user to then quickly and easily book that appointment.

Putting ZocDoc through its paces, I was impressed with just how simple the interface was both on the website and the iPhone app. It really is very easy to use the service to locate a doctor. Booking an appointment couldn’t have been any easier either and the whole process took just a minute or two to complete.

For now, ZocDoc only works in the U.S. but for travelers who frequently move about the country, this could be an incredibly useful app. If you find yourself frequently on the road and occasionally needing medical assistance of some type, this service will come in very hand. While not expressly built for travelers, it certainly is a resource that we’ll all be happy to have if we ever need it.

[Photo Credit: U.S. Airforce via Wikimedia]

Gadling gear review: Adventure Medical Kits Smart Travel

by Kraig Becker on

Staying healthy while on the go is one of the most important aspects for us to enjoy our travels. Nothing ruins a “trip of a lifetime” more quickly than contracting a stomach ailment or developing nasty blisters on our feet. Anticipating everything we might need to take with us to avoid these issues can be tough however, and invariably we end up leaving home without the one thing we really need.

That’s where Adventure Medical Kits comes in. The company makes a line of medical kits and survival gear that have long been favorites amongst the backpacking and adventure racing crowd. But they also have a fantastic set of med kids designed specifically for travel that offer everything we need for our next trip in one compact, well organized, package.

Take for example their Smart Travel kit, which is designed to support one or two people on an extended trip. The kit is essentially a well stocked medicine cabinet that you can take with you wherever you go. Weighing in at just over a pound, the Smart Travel comes packed with bandages, gauze, a thermometer, tweezers, medical tape, and much more. It also includes medications to treat a variety of stomach ailments, blisters, dehydration, fever, and other minor aches and pains. A comprehensive patient assessment form helps to diagnose exactly what it is that ails you, while a visual communications card allows you to communicate what is wrong, in multiple languages, just by pointing.

But that’s not all. The kit also packs in a handy 200-page pocket edition of a wilderness and travel medicine guide. The book offers tips and advice on how to handle everything from allergic reactions to snake bites. The book is so well organized and filled with great information, that it will come in handy even around the house. But having a compact version that fits snugly into the Smart Travel kit, is a nice addition to an already well stocked product.
Adventure Medical Kits recommends the Smart Travel for adventure travel through both developing and developed countries. They also give it a thumbs up for travelers on cruises or short term missionary tours. Personally, I think the kit is fantastic for just about any trip however and would recommend it whether you’re trekking through the Himalaya or staying in a luxury resort in the Caribbean. It is simply too useful to leave at home, no matter what your destination.

For those travelers who need something a bit more comprehensive, AMK offers the World Travel kit, which is designed to support 1-4 people. It is a bit larger, weighing in at a pound and a half, but comes stocked with even more emergency supplies. They even have a kit designed specifically for women, which was developed to meet their specific needs as well.

No matter which kit you use however, AMK has built them to be modular and easy to restock. That means that as you use it, and supplies begin to dwindle, you can simply order refills directly from the company, keeping your medical kit always ready to go. This is a handy option for those who want a simple way to ensure that they are always prepared for their next adventure, without worrying if they remembered to restock all the things they used on their last excursion.

The Smart Travel runs just $40, which is a small price to pay for staying healthy on your next trip. The woman’s specific kit and World Travel are $60 and $70 respectively, but come with even more medical supplies.

Anyone of these kits would make a great holiday gift for the adventurer on your list.

Knocked up abroad: pregnant travel in the first trimester

by Meg Nesterov on

For more on pregnant travel, see parts 1 and 2 of Knocked up abroad: pregnancy in a foreign country here and here.

There’s no question that having a baby changes you: your body, your lifestyle, even your shoe size. One thing I hoped not to change altogether was traveling, as long as it was reasonably safe and comfortable for me and the baby. From the beginning of my pregnancy in Istanbul, my doctor has okayed travel, as long as I get up to stretch frequently on flights and try not to overdo it. Most doctors (and mothers) agree that the second trimester is the most comfortable time for pregnant travel but the first trimester can be a good time as well (while you can still squeeze into pre-maternity clothes and walk without waddling) with a little extra precaution and a little more babying (of the mother, of course).


The first trimester of pregnancy is a tricky time for many women: the risk of miscarriage is highest up to 10 weeks, morning sickness is common, and hormones are running wild. It’s too early to tell anyone outside family or close friends and without a visible belly, it’s impossible for strangers to tell as well. At later points in your pregnancy, a baby bump acts as the international symbol for pregnancy and can make it much easier to express your condition when traveling abroad. If you travel in the early months before showing, you may want to learn the local language words for “I’m pregnant” to avoid a Bridget Jones-esque “mit kinder” scene if you need extra help while traveling.


Over this past December, my husband and I were looking for a good trip to take over the holidays, when I was around 10 weeks pregnant. Our location in Istanbul changes the list of short-haul destinations considerably from what we would have considered from New York, and we debated between a warm-weather beach destination (husband) or a snowy and “Christmassy” European city (me). We ruled out Egypt (not warm enough and not Christmassy), New Zealand (even less convenient to get to than from New York), and Sri Lanka (not enough time to plan properly and some risks of disease I couldn’t be vaccinated against). In the end, we chose…Russia.
Going to Russia in winter while pregnant may seem crazy to some, but for me it made sense: Moscow and St. Petersburg are a few hours from Istanbul by direct flight, my husband speaks fluent Russian in case of any problems, and there was no risk of malaria or eating any food that had spoiled in the sun. While it was cold and snowing during our trip and I couldn’t take advantage of some of Russia’s cold-weather remedies like vodka and saunas, a week in Moscow and St. Petersburg was a perfect mix of exotic and comfortable.

Nearly every cafe had a variety of non-alcoholic and caffeine-free beverages for me to choose from, I even had non-alcoholic sangria, mojitos, and mulled wine in addition to fresh juices and herbal teas. Both cities are beautiful to explore in the snow, with plenty of museums and cafes to warm up in, and the New Year holiday displays made it festive.

If you are planning a trip to a foreign country while pregnant, it makes sense to keep in mind the following guidelines. Always discuss plans with your doctor before booking and err on the side of caution when choosing a destination.

Check airline restrictions – Most airlines allow pregnant women to fly internationally up to 28 weeks, after which you must provide a doctor’s note issued within a week or so of departure. 35 weeks (earlier for women carrying multiples) is the cutoff for nearly all airlines to prevent women from giving birth on board. Most US domestic carriers will allow pregnant women to fly up to the final month; hilariously, Continental will not let women board if “physical signs of labor are present” though they don’t specify what.

Consider travel insurance – If your medical insurance doesn’t cover you overseas, you may want to look into supplementary medical travel insurance, but be sure it covers pregnancy as many policies do not. Additionally, if you are traveling to a country where English is not spoken, you may want to research the name of a clinic or doctor in case of emergency as well.

Be prepared for jet lag – Before pregnancy, I had little issues with jet lag, trying to get on local time as soon as possible. I discovered when flying back from the US to Turkey that it hits you much harder as a pregnant traveler, especially as you can’t use sleeping pills or alcohol to help you sleep. Factor this into your schedule and give yourself plenty of time to acclimate and adjust to time changes.

Realize your limits have changed – On a usual trip, I’d be up early to walk around a city all day, have a late lunch (or maybe just a big afternoon beer) followed by more museums and exploration, and still be up for checking out the local nightlife. Once pregnant, I required more sleep and three solid meals a day (plus maybe some snacks, I am eating for two!), tired after walking short distances, and was ready to call it a night long before last call. If you have an itinerary, pare it down to the must-sees and double the time to see everything; better to take it easy and enjoy your trip than feel exhausted and sick.

Look for destinations that don’t require vaccinations – One of the first tests your doctor will give you after confirming pregnancy will be for immunizations to hepatitis and rubella. If you haven’t had the vaccines, they will have to wait until after the baby is born as they are not safe for pregnant women. I have not had the hepatitis vaccine yet, and thus have a greater risk of contracting it, which rules out much of Africa and southeast Asia for travel, but also means I must avoid raw vegetables including salad in Istanbul. Most other medications and vaccines commonly given to travelers before going to an area prone to Malaria, Typhoid or Yellow Fever are not advised for pregnant women. But there’s still a big world out there, check the CDC for destination-specific information.

Be extra aware of food and water safety – Pregnant women are more susceptible to food poisoning the average person, as the immune system is suppressed so it doesn’t reject the fetus. This is the reason most pregnant women are told to avoid sushi and food that is not prepared in sanitized conditions. Even adventurous eaters should play it safe while pregnant and drink bottled water when in doubt. I recently had an opportunity to visit Mumbai, India but after consulting with a few friends who had lived there, I worried I’d spend the trip inside my hotel room eating pre-packaged food. Again,

check the CDC and use the same common sense you’d use anytime while traveling: stick with food that is freshly prepared in restaurants full of people.


Stay tuned for more on pregnancy travel, including Turkish superstitions and customs, travelling in the second trimester, where to do pre-baby shopping, and more on having a baby in a foreign country. Check here for further updates.

[Photo courtesy Mike Barish from the Istanbul tram]

Knocked up abroad: prenatal care and pregnancy advice in a foreign country

by Meg Nesterov on

See part 1 of Knocked up abroad: getting pregnant in a foreign country here.

One of the best parts of my experience so far with pregnancy in a foreign country has been the excellent medical care I have in Istanbul. Like many other expats before me, as soon as I took a positive pregnancy test, I called up the American Hospital for an appointment. The hospital treats many foreigners each year, is renowned for infertility treatment as well as other quality medical care, and is popular as part of Turkey’s growing medical tourism (the cow pictured at right is in the hospital lobby; you can tell how serious he is because of the glasses).

My first prenatal appointment was scheduled for Thanksgiving Day, and while many Americans were getting up to stuff the turkey, I confirmed I was six weeks’ pregnant (you’re welcome for sparing the “bun in the oven” puns). My very charming and English-speaking Turkish doctor gave me the usual pregnancy advice/warnings*, all peppered with only-in-Turkey bits:

  • Eat lots of dairy like ayran (yogurt drink Westerners often hate because it’s not sweet), yogurt, and cheese. While pregnant women should avoid unpasteurized milk and soft cheeses, you won’t find many of either in Turkey (or in the U.S.) unless you are looking for them.
  • No undercooked or raw meat like çiğ köfte, a popular raw meat and bulger-wheat snack served all over Istanbul (I first tried it outside a trannie bar here). I’ve discovered that the primary concern with sushi is an elevated risk for food poisoning; there is no additional or specific risk to the fetus. Sushi fish is often flash-frozen when caught, therefore it contains lower levels of bacteria. Use your judgment when ordering raw sushi, or stick to California rolls.
  • It would “be a crime to not eat fish in Turkey,” according to my doctor, but stay away from the big ones like shark which have high mercury levels. 1-2 servings of salmon or tuna per week is fine.
  • Sadly, especially in a country with excellent produce, eating unpeeled vegetables or salads in restaurants is a no-no, due to the hepatitis risk. While most restaurants are very clean in Turkey, when you are in a country with some traditional “natural-position” (aka squat) toilets still in use, you run the risk of some food contamination that’s riskier for expectant women than the general public.
  • Like many Europeans, I was told that 1 or 2 alcoholic drinks a week is okay, such as a glass of wine with dinner. Moderation and common sense are key, and it’s always best to err on the side of caution.
  • Caffeine is also fine in moderation: 1-2 cups of coffee, tea, or sodas are allowed per day, though I’m not convinced that a piping hot, two-sugars-no-milk glass of Turkish çay isn’t higher in caffeine than your average cup of tea.
  • Light exercise like yoga, pilates, and swimming are fine, but no “jumping exercises.”

My other concern was, of course, travel, but that was given the green light as long as I have no complications. Most airlines allow travel up to 28 weeks without a doctor’s note and up to 35 weeks with medical clearance. Whether your flight is short or long-haul, it’s advised to get up and move around every hour or so (good advice even for non-preggos) and choose the aisle seat. As I get bigger, I find puffing out my stomach as much as possible helps to get baggage assistance, and seats on the subway is good too.

The costs of prenatal care in Turkey are low: each of my appointments to a top-end private hospital cost just over $100 USD even with NO insurance (my U.S. insurance treats all international care as out-of-network and thus, out-of-pocket), even with ultrasounds at every visit–most American women get only a few over the course of the pregnancy. I’ll pay less for childbirth with a private room and catered meals for the family than I would for a shared room in a New York hospital. I rarely wait more than a few minutes to see the doctor, and the facilities and equipment are new and clean.

So far, Turkey has proved fairly easy to navigate as a pregnant person. I’ve never had a doctor who I could easily email with problems (such as which cold medicines were okay to take when I was sick in Russia), and everyone I meet is helpful with my concerns and questions. Istanbul is built on hills, so walking to the store can mean a fairly strenuous hike, but modern Turkey accommodates with online food and grocery delivery. Organic food is cheaper than at home, and nearly all of my cravings have been satisfied so far (though I could go for some American mac-and-cheese). I’m not yet halfway through the pregnancy but wouldn’t hesitate to reassure another expat that Turkey is a fine place to have a baby.

*Note: none of this is intended to be taken as medical advice, but rather my personal experience and anecdotal evidence. Talk to your own doctor about warnings and concerns before traveling to a foreign country, pregnant or otherwise.

Stay tuned for more on pregnancy travel, including Turkish superstitions and customs, where to travel in each trimester, what to eat when pregnant abroad, where to do pre-baby shopping, and more on having a baby in a foreign country. Check here for further updates.

Weekending: Varna, Bulgaria

by Meg Nesterov on


Back in September, the end of the Muslim month of Ramadan offered locals and expats like me an excuse to go on holiday while our American friends were celebrating the end of summer and Labor Day. With more time to explore than a typical Weekending trip, I checked out Turkey’s most western neighbor, Bulgaria, and fell in love with modern and medieval captials Sofia and Veliko Tarnovo.

The place: Varna, Bulgaria

Varna is known as the summertime capital of Bulgaria, a Black Sea beach town that’s a destination unto itself with several notable museums, an active cultural scene, and the gateway to the coastal resort towns.

%Gallery-105965%
Upgrades

  • Unlike many of the purpose-built, touristy resort towns that litter the coast, Varna manages to maintain a nice balance of beach town and actual city. Pedestrian streets Knyaz Boris and Slivnitsa are great for window shopping and people watching day and night, and Varna has a handful of quirky and interesting museums to visit. The Archaeology Museum is one of the country’s best, and my visit to the creepily-cool Medical History museum (with nice Bulgarian lady following me around turning lights on and off as in VT) was one of my favorite travel experiences. Strolling the Sea Garden is a pleasant way to spend an afternoon, though the zoo is maybe the grimmest I’ve seen yet (I could have easily stuck my head into the lion’s cage with no interferrence) but with admission under $1, it’s hard to complain.
  • The variety of daytime diversions extends to nightlife too, with everything from sceney beach clubs to seedy casinos to dive bars. Indian Bar has an eclectic decor of Native American art and Italian soccer banners which manages to be more charming that offensive, while Saloon Bar is just the kind of place I’d love in my neighborhood: cheap drinks, good music, and a bartender that remembers you after one drink. Varna is also the birthplace to Happy Bar & Grill, a chain restaurant all over Bulgaria (and now in Spain too) that resembles a love child of Hooters and T.G.I. Friday’s, in the best sense. Happy has a vaguely nostalgic rock-and-roll Americana theme going on, a menu of Bulgarian food and pizza (they also have some sushi restaurants), and waitresses clad in miniskirts and nude pantyhose. There are several location including a tiki beach bar, and any of them are good spots to take advantage of free wi-fi, decent coffee, and as many ’80s music videos as you can handle. Varna is a bit pricier than other towns in Bulgaria but still a steal by Western standards.

Downgrades

  • Lovely as Varna may be, the travel season is really limited to summer. While there is plenty to do in cool weather, there is greatly reduced transportation in and around town, many waterfront cafes will close in winter, and you’ll miss out on experiencing the summer scene. The Black Sea has been the hot weather refuge of many Europeans for decades and Varna retains some old-school (and Communist-era) flavor (see the above photo of the thermal pools frequented by the elder residences) while joining the modern world with boutique hotels and sushi restaurants popping up to serve a growing international clientele. If you visit Bulgaria in cold weather, your time would be better spent exploring the old towns and museums in central and western Bulgaria.
  • I’d be remiss in wrapping up a series on Bulgaria without pointing out the obvious obstacle: Cyrillic. Invented in Bulgaria and not Russia, the alphabet is less complicated than you think but takes some adjustment and practice to feel comfortable reading signs and maps. I was fortunate to travel with my Russian-speaking husband who could at least read the alphabet (though Russian and Bulgarian are as dissimilar as English and Spanish) but I got the hang of it quickly enough. Rather than trying to memorize the alphabet in advance, transcribe a few key and familiar words, such as your name, your hotel, and the towns you are visiting so you can begin to recognize the characters. Also, Bulgaria’s quirk is the reverse head nod: they nod horizontally for yes, vertically for no. This feels very foreign the first time you experience it but makes an odd sense after a few days.

Getting there

Most of the international flights to Varna are from Eastern Europe, though the great budget carrier Wizz Air flies from London and Sofia. Bus service is excellent throughout the country (about 7 hours from Sofia) or from Istanbul (10 hours) or Bucharest (7 hours), but train service is slower and less comfortable.

Make it a week

Rent a car or bus hop along the coast if the weather is good, taking note that if a town has a foreign name (like Golden Sands) it’s probably an overbuilt tourist town. You could also combine with other regions of Bulgaria. I fit in Sofia, Veliko Tarnavo, and Varna comfortably in an 8 day Saturday – Sunday trip, traveling between cities by bus and returning to Sofia for my international flight on Wizz Air.

Read about more Weekending trips here.