What to do When You’re Sick or Injured and Traveling

I guess if you travel enough, you’ll inevitably end up sick or injured during your vacation. Over the years, I’ve been sick or injured or someone in my family has been and I’d like to hope I’ve learned a thing or two about what to do. There are of course some things you can do to prevent getting sick or injured but sometimes things just go wrong and there’s not a single thing you could have done to have prevented it.

One of the most memorable examples was when my husband and I were in Costa Rica many years ago and toward the end of our vacation we decided to take one of the resort’s ocean kayaks out for a paddle. We were having a grand time when suddenly the tide changed and our kayak began to get pushed into the nearby coral reef. After being thrown out of the kayak we were tossed around by the waves and struggled just to hold onto the kayak. Neither of us were wearing water shoes or any shoes at all and both of us got some deep cuts on our feet from the coral.

Suddenly my husband screamed out in agony and let go of the kayak. I held onto the kayak and fought against the churning waves to get back to shore as my husband told me what happened. He felt a sharp pain in the heel of his foot and thought he might have stepped on something other than coral. His foot was gushing with blood and he said he was beginning to see stars. We knew we had to get back to our resort quickly and hoped there was someone that could help us.

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My husband and me in Costa Rica before our kayaking adventure

Fortunately the resort had an on-site doctor and nurse so we immediately made our way there. Although the doctor spoke no English, the nurse spoke a little English so along with my limited Spanish we were able to communicate. The nurse told me the doctor suspected my husband stepped on the barb of a stingray and she said the poison released is typically very painful. They administered morphine to my husband for the pain and cleaned up both his and my cuts from the coral. The lesson from all of this? Wear water shoes when ocean kayaking where there is coral? Sure, that would have helped. Make sure you know the language of the country where you’re going on vacation? Well, that certainly was helpful but maybe more importantly, make sure your health insurance covers you when you’re away from home. Call your health insurance company before you go out of town, even if it’s just to another state within the United States, to make sure you will have coverage if you’re injured or hurt. Ask what your limitations are as well. Fortunately for us my husband’s health insurance paid for all of the charges for this.

Depending on your personal health insurance plan, or lack thereof, you might want to purchase travel insurance. Travel insurance is more than just health insurance; your airfare, hotel, baggage fees, and other travel-related expenses will also be covered in the event of an emergency, with varying levels of coverage depending on the plan you purchase. I know a lot of people that travel internationally are big fans of Travel Guard, an American travel insurance company. They provide three levels of coverage called Silver, Gold, and Platinum Plans.

Several years ago my husband, daughter, and I were going on vacation to Hawaii with my in-laws who were older and in poor health and I purchased travel insurance in advance of this trip. This was a two-week expensive vacation and I didn’t want to potentially lose all of the money spent on our airfare and other costs if one or both of my husband’s parents fell ill and we had to cancel the vacation. The money I spent on travel insurance gave me peace of mind so I didn’t have to worry about cancellation fees, so it was money well-spent, although fortunately no one had to cancel the vacation.

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Fortunately everyone was able to enjoy our family vacation in Hawaii

A good thing to do before you travel internationally is to check online to see if you need any specific vaccinations. The CDC website is a good source for recommendations in each country. Some vaccines require multiple shots spread out over time, so do this in the early stages of planning your vacation. I’ve heard some people say they just asked their doctor what shots they needed before traveling to a specific place, only to be told, “Oh you don’t need anything to go there,” which was incorrect information, so always check online to be sure. Depending on where you’re going you might want to get hepatitis A and typhoid vaccines to protect against contaminated food or water.

If malaria is a risk where you’ll be traveling, you can take a prescription medication before and during your trip. When you arrive at your destination be sure to cover up exposed skin and use insect repellent with DEET to protect against mosquitoes.

Not drinking the tap water is easy enough but there are some additional steps you need to do to avoid getting diarrhea from the local water. Only drink bottled water that you personally open yourself. Don’t worry about seeming rude by refusing water from a bottle that is already opened. Your health is more important. Also don’t eat any uncooked vegetables or fruit that have been freshly washed, including salads. Finally don’t forget to skip the ice cubes in drinks.

In the event you do end up with “Montezuma’s Revenge,” despite all your best intentions there are things you can do to feel better faster. Pack some Immodium in your carry-on so you don’t have to worry about finding a pharmacy when you can barely get off the toilet. Activated charcoal tablets can be taken for gas from GI distress and can be found at most major drug stores as well.

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This kind of “Montezuma’s Revenge” is fun; the other kind, not so much!

I also like to pack pain reliever such as ibuprofen, allergy pills, band-aids, and even a thermometer is good to have if you’re traveling. Most of these things can easily be purchased at drug stores in the US, but if you’re overseas it might not be so easy to buy them, especially if the language is different and the packaging won’t be in English. Also, it’s much easier to just pull out the needed medication from your carry-on bag than find a pharmacy and buy the medicine then get back to your hotel to take the medicine and rest. When we were in Oregon, our daughter was so sick with a cold she was vomiting phlegm. I had forgotten to pack some tested and true Mucinex so we had to schlep to a drug store to buy some for her. After that she began to feel much better but it would have been so much easier and quicker if we would have already had it with us.

Over the years I’ve also experienced food poisoning, migraines, bizarre rashes, and cuts and blisters but thankfully nothing life-threatening. Sickness and injuries are bound to happen at some point when you’re traveling but there are some things you can do ahead of time to give you peace of mind and you can arm yourself with a few things that will make you feel better quicker.

What about you all- have any tips or stories to share?

Happy travels!

Donna

 

 

 

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Running During My Off-Season

I’m in-between half marathons currently, which means I haven’t been doing a whole lot of running. That doesn’t mean I haven’t been active, though. My last half marathon was in New Jersey and was my 40th state. Given that my next half marathon isn’t until November, that leaves a big chunk of the summer with no training plan. I’ll start training for my next race in a couple of weeks.

Now that I’m down to the final 10 states on my quest for a half marathon in all 50 states, I’ve gone from running a race every season to a race in three out of four seasons. After my race in November, I won’t have another race until May, which means my off-season will be during the winter months for the most part. Last year, I was training during the winter for my race in Utah in February. I was cursing my decision when I had to run my long runs in the cold last January and February, but I’m sure next summer when I’m training for a half marathon in August and have to do my long runs in the heat and humidity I’ll be cursing my decision to do a summer race.  Oh well!

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Although I haven’t been running a ton, I’ve been having fun biking with my family- here’s my daughter on a recent family ride

OK.  Back to my point, which is it’s kind of different having such a long break off of serious miles. Sure, I’ve still been running here and there, but the longest run I’ve gone on since the race in May is 4 miles. I’ll run 5 miles this weekend, but still, this is what many of you runners are doing for your mid-week runs. I’ve been working on strength training and some other things as well during this time off of race training, so it’s been a good time to do some other things like High Intensity Interval Training (HIIT), which I’ll ease off of when I’m in the double digits for my long runs.

There’s also a mental aspect of taking a break from half marathon training. Running is such a big part of my life, when I’m not doing so much of it, I have kind of mixed feelings. I’m enjoying having extra time in my day but I also miss my time out on the roads and trails. I’ve been running my long runs on the same trail for the past couple of years and it’s quite scenic and not crowded, so I feel a sense of peace when I’m running. Even though parts of the trail are close to neighborhoods, there are enough trees and wooded areas that you feel miles away from everything at times.

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I haven’t missed this hill from my long runs!

Until recently I didn’t really have an “off-season” from training. I’ve always taken a solid two week break from every half marathon I run, sometimes a little more if I feel like I need it, but my next race was never more than 2 or 3 months away usually. I suppose I could have ran shorter distance races this summer, but honestly the idea of running a race in the heat and humidity we have here in North Carolina doesn’t appeal to me. That could be an option for next spring during my long break between races, though. I haven’t ran a 5k by myself (I ran one with my daughter a couple of years ago) since I first started running races so it would be interesting to see how I’d do.

How about you guys? Most of the running blogs I follow make me look like a slacker when it comes to running races! Do you guys ever take an off-season from running and/or racing?

A Breakthough!

So I’ve been having a knee/calf/ankle issue for some time now (years?) that I’ve been unable to even pinpoint where the problem is, hence my lumping the three body parts together. The issue is that when I run or even walk, I’ve been hyperextending my right leg. Basically my leg is straight when it should be bent, or at least partially bent. Have I lost you? I know, it’s complicated, which is why I couldn’t figure out what was causing the problem or how to fix it.

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When I run or even walk, but especially when I’m going uphill, it looks like I’m limping. It’s not terribly noticable when I’m walking, but when I’m running, it’s easy to see something’s “not right.” I’ve even had various people ask me about it when I’ve been out walking or running. When I saw a video of myself running at a half marathon a couple of years ago, I was appalled that my form had gotten so bad. That prompted me to seek out a physical therapist, but that didn’t happen right away, because, well, I guess I just kept hoping the problem would go away, and honestly, I wasn’t in pain so I just kept going on like that.

I went to a physical therapist last fall and what I found out was:  1) I hyperextend my right leg when I walk and run and 2) I have a muscle imbalance between my right and left legs. My physical therapist gave me a bunch of exercises to do that would hopefully help balance out my left and right legs. For the several weeks I was going there, I was diligent about doing the exercises, then I slacked off for a bit, then I started doing them again after I would run. I stopped going to physical therapy because I wasn’t even sure if it was helping me and I figured I could just save myself a lot of time and money by doing the exercises on my own at home.

Lately, somewhat miraculously, I started to notice I wasn’t hyperextending my right leg as much. It’s really hard to watch yourself while you’re running but I seemed to notice something different in my gait. It wasn’t dramatic so I wasn’t even sure what was going on. Then my daughter said out of the blue a few weekends ago, “You don’t seem like you’re limping like you used to, with your knee problem.” This was fantastic to hear! I think I’m still hyperextending my knee but not as much as I was. To me, this is a breakthough.

I’ve been doing other things besides the prescribed exercises from the physical therapist. I’ve also been working on my core (with my 30 day plank challenge), doing clamshell exercises, side leg lifts, and throwing in a bit of lunges and squats even though I detest doing both of those latter exercises, but all part of helping with dead butt syndrome. I know this isn’t very scientific of me, just throwing in a bunch of changes instead of one new thing at a time, to try to figure out what exactly is working, and I’m even a scientist- I should know better. I was desperate, though. I just really wanted this problem to go away so I’ve been throwing every single thing I could think of to try to fix it. So now it seems something, or many things are working.

On a recent 12 mile run on a very hilly route I’ve been running on for the past two years, I was able to run up every. single. hill. I’ve never even come close to running up every single hill on this route. I would end up going so slow and would be so out of breath, I’d end up walking until I was at least close to the top before I would start running again. To run up every hill was HUGE for me! I was elated! I took a quick photo of one of these hills just to give a little perspective, but I’m not sure the photo does it justice.

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Now I guess I’m stuck doing all of these things in hopes of forever and truly “fixing” my leg imbalance so I don’t run like I’m limping any longer. If that’s what it takes, so be it.