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“НАШЕ ЖИТТЯ”, ЛИПЕНЬ - СЕРПЕНЬ 2018 WWW. UNWLA .ORG 33 READY, SET . . . VACATION! by Ihor Magun, MD, FACP Everyone is entitled to and deserves time for phys- ical and mental relaxation: a time to unwind, relax and recharge. We all benefit from this and should utilize it. This month’s column proposes some helpful ”trip tips” that everyone can in corporate into the planning phase, vacation phase and even as a guide for other ordinary time - off days. If your trip includes travel to countries that may require specific vaccines, make sure you verify the require- ments for these. Also be aware that some vaccines need to be administered at least six weeks prior to travel for the desired effect. Some vaccines are re- quired; some are only recommended. This is usu- ally based on the specific country you might be vis- iting. And while you are checking on vaccine re- quirements, it may not be a bad idea to update any routine booster vaccines that protect you from things like tetanus. We are all pron e to cuts, and no one wants to sit in a clinic or hospital while on va- cation. The recommended schedule for updating tetanus vaccines is every ten years. Considering the fact that you will be going away, it is also the per- fect opportunity to get your annual health exami- nation (unless, of course, you already had it). This way, you will be prepared for travel with the knowledge that you are healthy enough for travel. All too often, people assume that their medical issues will resolve themselves or simply go a way while they are “away on vacation.” Unfortu- nately, these people generally find out the hard way that they were wrong. Travel often has its own stressors or conditions that can exacerbate certain ailments or conditions. So once you know that you are basi cally healthy and properly vaccinated, it is time to pack a basic medical kit. Ziplock bags serve this purpose extremely well. Here’s a short list of recommended items you should include (I will use brand name products, but generic substitutes are fine): • Tylenol, Advil, or Alleve . Tylenol has multiple uses and can be used for headaches, fever and pain; Advil and Alleve work well for muscular is- sues, headaches, fever and pain; aspirin is helpful for heart issues and can also be used for fever, pain and he adache. • Pepto Bismol, Imodium, Benadryl and as- pirin (81 mg or 325 mg) . Gastrointestinal is- sues occur in roughly twenty - five percent of travel- ers. Many are self - limited, but incorporating Pepto Bismol sooner than later is always helpful. At times, the so mewhat stronger Imodium may be necessary. Remember to stay well hydrated and use bottled water in parts of the world where tap water or well water is not considered safe to drink. Avoid ice cubes in countries where this may be the case. Benadryl is helpful for allergic reactions and may be helpful for itching or nasal congestion . It may also be useful as a sleeping aid. • Band Aids , and alcohol prep pads; sunscreen products; insect repellant . These useful items are self - explanatory. • Hand sanitizers are a must; so are sanitizer towels. It is good practice to wipe the area where you will be sitting in a plane, bus or other means of transportation. Periodically wiping your cell phone is also encouraged. • If you are taking prescription medications , make sur e you do not place them in checked bag- gage. Make sure you take an extra supply in the event of some delay. It is also helpful to keep med- ications in the original prescription con tainers. No matter what means of travel you use, take frequent breaks. Prolo nged immobility can lead to clots in the legs. This is not common but sometimes affects people whose flights last more than eight hours. One way to avoid these is to move your legs often, stand up, and get out of your seat. Such clots can also occur during long rides in cars, trains, and buses and similar proactive measures apply: move your legs often while the vehicle is in motion; take advantage of stops along the way by getting up, getting out, and walking. A bit of planning and knowledge can en- sure a w onderful time away from the routine. Sa- vor the time prior to your vacation to “buil d it up.” Research shows this mental activity makes the ac- tual vacation even more special. If you are opting for a “staycation,” visit local attractions and take time to exp lore and feel your neighborhood. Look up at tall buildings and take the time admire the unique architecture. Visit a local park; pack a pic- nic lunch. Whatever you do on your days off, I sincerely hope it is special, fun and rejuvenating! Enjoy!
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