There was a time when I just grabbed a suitcase and headed for the plane. The worst that ever happened was a touch of Montezuma's Revenge. And if you're smart you only get it once and hopefully learn your lesson. So off I went into the unknown world never knowing what perils lurk behind the beautiful pictures in the travel brochures. In this age of information and fear, we must be covered for all sorts of mishaps. We are entering some exotic territory - one must be protected.
Of course, you cannot get these vaccines/medications at your regular doctor, no no. One must go to the specialized Travel Clinic, where if you are not careful, you will spend all the money you were planning to take on that lovely vacation you planned. Every clinic seems to have a totally different price schedule, so doing research pays off. Eventually, I discovered that our insurance would pay for a visit (with the co-pay of course) and some of the vaccines if we schelped up to Boston. Oh goodie, a day in the big city. Not so much. Spent all day at Mass General and finally got out around rush hour. Bummer. But the deed was done. Here is a taste of what to expect if you are traveling to this part of the globe.
High Altitude Sickness: Since we are going from sea level to about 11,000ft high altitude (Cuzco, Peru) in two days time, we were warned of nausea, dizziness, and array of other symptoms. Of course, the pills aren't without their side effects either. I was hoping to go with Mother Nature on this one and brave it, but after some research, the fear factor sneaks in and I will probably stick to science and swallow the pills.
Malaria: Next is the Amazon Jungle in Ecuador. Although to hear our friends talk of it, it is more like Amazon-lite - you know the part they clean up for the tourists. Well, they may sweep up the snakes, muzzle the piranhas and cage the tarantulas, but I sincerely doubt they are going to spray for mosquitoes! Here we had a choice of some fine medications. One made you psychotic with vivid nightmares - lovely. Another came with chance of yeast infections and sunburns - fabulous. These two were the more affordable choice. We opted for the high priced designer drug, Malarone, which is supposed to be fairly well tolerated. I will let you know. As a further protection, we are equipped with 3 different kinds of insect repellent. And just because we can, Geoff had all of our "jungle clothes" hanging from the tree out front in the snow, spraying them with Permethrin - a bug repellent that attaches to fibers. Good for 6 washings.
Sea Sickness: From the jungle to the ocean. Had to throw in the Dramamine just in case.
Yellow Fever: Although not as big a threat as it once was, we were advised to get the vaccine.
Typhoid: This wasn't for South America, but as long as we were there, we figured we might as well get covered for the rest of the world. We opted for the 5 yr pill therapy instead of the 3 yr injection.
This all gets topped off with a prescription for Cipro - just in case Montezuma should strike.
We are now armed with our rolling pharmacy. All we have to do now is remember which pill to take when. Oy Vey!
Next time... Round 3!